Simple Miracles Dentistry, LLC

Simple Miracles Dentistry, LLC was paid $32K by Medicaid between Jan 2024 and Nov 2024, across 5 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.

33Billing provider infoSIMPLE MIRACLES DENTISTRY, LLC
BOWIE, MD 20715

33aNPI1952189136assigned 09/19/2023

33bProvider typeGeneral Practice Dentistry

28Total paid$32K

24GClaims435

24DCodes billed5

24AFirst – last monthJan 2024 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Maryland

Rank by total paid#325 of 598

Median peer was paid$42K

This provider vs. median0.8×

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	435	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	31%	72	26	$10K
D0150	Comprehensive oral evaluation - new or established patient	30%	162	162	$9K
D1110	Prophylaxis - adult	22%	101	101	$7K
D0210	Intraoral - complete series of radiographic images	16%	87	87	$5K
D1208	Topical application of fluoride, excluding varnish	<1%	13	13	$315.38

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 officialDICKS, SHANA (GENERAL DENTIST)