MIRACLE DENTAL CENTER
NPI: 1497359954
· FEASTERVILLE TREVOSE, PA 19053
· Dentist
· NPI assigned 11/25/2020
Provider Details
| Authorized Official | FROLOV, IRINA (OWNER/DENTIST) |
| NPI Enumeration Date | 11/25/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
215 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
90 |
88 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
25 |
25 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$560.00 |
| D0120 |
Periodic oral evaluation - established patient |
35 |
35 |
$500.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$308.00 |
| D1330 |
|
12 |
12 |
$121.88 |
| D1310 |
|
12 |
12 |
$119.57 |