Dental
Miracle Dental Center
Miracle Dental Center was paid $5K by Medicaid between Jul 2024 and Oct 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.
33Billing provider infoMIRACLE DENTAL CENTER
FEASTERVILLE TREVOSE, PA 19053
FEASTERVILLE TREVOSE, PA 19053
33aNPI1497359954assigned 11/25/2020
33bProvider typeDentist
28Total paid$5K
24GClaims215
24DCodes billed7
24AFirst – last monthJul 2024 – Oct 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#522 of 683
Median peer was paid$34K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 215 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 50% | 90 | 88 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 20% | 25 | 25 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 29 | 29 | $560.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 35 | 35 | $500.00 |
| D0274 | Bitewings - four radiographic images | 5.8% | 12 | 12 | $308.00 |
| D1330 | 2.3% | 12 | 12 | $121.88 | |
| D1310 | 2.2% | 12 | 12 | $119.57 |
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 officialFROLOV, IRINA (OWNER/DENTIST)