Miracle Smile Family Dental and Orthodontics PLLC

Miracle Smile Family Dental and Orthodontics PLLC was paid $5K by Medicaid between Jul 2023 and Dec 2024, across 7 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 39% of everything it billed.

33Billing provider infoMIRACLE SMILE FAMILY DENTAL AND ORTHODONTICS PLLC
AUBREY, TX 76227

33aNPI1174278311assigned 02/16/2022

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims298

24DCodes billed7

24AFirst – last monthJul 2023 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#2,074 of 2,774

Median peer was paid$43K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2023	27	$0.00
2024incomplete	271	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0145	Oral evaluation for a patient under three years of age	39%	15	15	$2K
D0210	Intraoral - complete series of radiographic images	18%	15	13	$917.04
D1208	Topical application of fluoride, excluding varnish	17%	61	61	$867.30
D0150	Comprehensive oral evaluation - new or established patient	17%	28	26	$839.04
D1120	Dental cleaning, childProphylaxis - child	8.7%	13	13	$439.52
D0602		0%	151	143	$0.00
D0603		0%	15	15	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMODI, NISHA (DDS)