MIRACLE DENTAL ASSOCIATES
NPI: 1427491315
· WEXFORD, PA 15090
· 1223G0001X
$5.66M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
5,823 |
$199K |
| 2021 |
44,212 |
$1.54M |
| 2022 |
1,136 |
$29K |
| 2023 |
1,786 |
$50K |
| 2024 |
123,751 |
$3.85M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
7,774 |
7,673 |
$971K |
| D1120 |
|
19,854 |
19,783 |
$663K |
| D1351 |
|
23,370 |
5,298 |
$649K |
| D1206 |
|
28,023 |
27,880 |
$557K |
| D2930 |
|
4,970 |
1,592 |
$548K |
| D0120 |
|
19,264 |
19,194 |
$424K |
| D2392 |
|
3,579 |
2,289 |
$235K |
| D1110 |
|
5,570 |
5,544 |
$223K |
| D9230 |
|
4,166 |
3,940 |
$200K |
| D1330 |
|
15,423 |
15,378 |
$176K |
| D1310 |
|
15,444 |
15,399 |
$169K |
| D7140 |
|
2,366 |
1,158 |
$165K |
| D0272 |
|
8,560 |
8,525 |
$155K |
| D2391 |
|
2,559 |
1,796 |
$142K |
| D0150 |
|
5,532 |
5,504 |
$129K |
| D0140 |
|
1,622 |
1,602 |
$67K |
| D0274 |
|
2,111 |
2,098 |
$67K |
| D0220 |
|
3,646 |
3,618 |
$33K |
| D0230 |
|
1,056 |
922 |
$24K |
| D1354 |
|
585 |
495 |
$21K |
| D3220 |
|
221 |
144 |
$19K |
| D0330 |
|
395 |
392 |
$14K |
| D0145 |
|
438 |
438 |
$10K |
| D2332 |
|
23 |
12 |
$2K |
| D2330 |
|
23 |
13 |
$1K |
| D1999 |
|
66 |
63 |
$380.00 |
| D0603 |
|
68 |
68 |
$340.00 |