Managed care
Jason Mirabile Dental Corp
Jason Mirabile Dental Corp was paid $732K by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoJASON MIRABILE DENTAL CORP
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
33aNPI1780072199assigned 01/07/2015
33bProvider typePreferred Provider Organization
28Total paid$732K
24GClaims15,582
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Preferred Provider Organization providers in California
Rank by total paid#18 of 100
Median peer was paid$80K
This provider vs. median9.2×
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 | |
|---|---|---|---|
| 2018 | 3,679 | $134K | |
| 2019 | 2,508 | $121K | |
| 2020 | 1,568 | $92K | |
| 2021 | 1,756 | $103K | |
| 2022 | 2,064 | $95K | |
| 2023 | 2,422 | $114K | |
| 2024incomplete | 1,585 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 3,015 | 2,997 | $256K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 2,677 | 2,662 | $165K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 2,124 | 2,099 | $98K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.3% | 606 | 180 | $39K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.5% | 299 | 208 | $33K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 933 | 933 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 403 | 77 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 328 | 328 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 1,357 | 1,338 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 255 | 68 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 2,971 | 1,699 | $12K |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.3% | 20 | 12 | $10K |
6 more codes
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 officialMIRABILE, JASON (DENTIST)