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MIRACLE SMILE FAMILY DENTAL AND ORTHODONTICS PLLC
MIRACLE SMILE FAMILY DENTAL AND ORTHODONTICS PLLC
NPI: 1174278311
· AUBREY, TX 76227
· General Practice Dentistry
· NPI assigned 02/16/2022
Provider Details
| Authorized Official | MODI, NISHA (DDS) |
| NPI Enumeration Date | 02/16/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
27 |
$0.00 |
| 2024 |
271 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
15 |
15 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
13 |
$917.04 |
| D1208 |
Topical application of fluoride, excluding varnish |
61 |
61 |
$867.30 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
26 |
$839.04 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$439.52 |
| D0602 |
|
151 |
143 |
$0.00 |
| D0603 |
|
15 |
15 |
$0.00 |