JASON MIRABILE DENTAL CORP
NPI: 1780072199
· SANTA MONICA, CA 90404
· Preferred Provider Organization
· NPI assigned 01/07/2015
$732K
Total Medicaid Paid
Provider Details
| Authorized Official | MIRABILE, JASON (DENTIST) |
| NPI Enumeration Date | 01/07/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,679 |
$134K |
| 2019 |
2,508 |
$121K |
| 2020 |
1,568 |
$92K |
| 2021 |
1,756 |
$103K |
| 2022 |
2,064 |
$95K |
| 2023 |
2,422 |
$114K |
| 2024 |
1,585 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,015 |
2,997 |
$256K |
| D0150 |
|
2,677 |
2,662 |
$165K |
| D0210 |
|
2,124 |
2,099 |
$98K |
| D2392 |
|
606 |
180 |
$39K |
| D7210 |
|
299 |
208 |
$33K |
| D1120 |
|
933 |
933 |
$33K |
| D7140 |
|
403 |
77 |
$23K |
| D0120 |
|
328 |
328 |
$18K |
| D0220 |
|
1,357 |
1,338 |
$16K |
| D2391 |
|
255 |
68 |
$13K |
| D0230 |
|
2,971 |
1,699 |
$12K |
| D2751 |
|
20 |
12 |
$10K |
| D3330 |
|
17 |
12 |
$8K |
| D4341 |
|
43 |
12 |
$3K |
| D1208 |
|
236 |
236 |
$2K |
| D2394 |
|
25 |
13 |
$2K |
| D0274 |
|
72 |
72 |
$1K |
| D0350 |
|
201 |
92 |
$751.20 |