Dental
Magnolia Dental, LLC
Magnolia Dental, LLC was paid $945K by Medicaid between Feb 2019 and Dec 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoMAGNOLIA DENTAL, LLC
MITCHELLVILLE, MD 20721
MITCHELLVILLE, MD 20721
33aNPI1043797152assigned 07/21/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$945K
24GClaims23,719
24DCodes billed22
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#59 of 598
Median peer was paid$42K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2019 | 908 | $29K | |
| 2020 | 953 | $26K | |
| 2021 | 2,943 | $103K | |
| 2022 | 5,534 | $202K | |
| 2023 | 6,116 | $246K | |
| 2024incomplete | 7,265 | $338K |
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 | 17% | 1,264 | 608 | $163K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,964 | 2,912 | $132K |
| D1351 | Sealant - per tooth | 13% | 3,373 | 839 | $119K |
| D1206 | Topical application of fluoride varnish | 11% | 4,104 | 4,041 | $102K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.7% | 826 | 432 | $82K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 2,729 | 2,685 | $82K |
| D1110 | Prophylaxis - adult | 6.9% | 1,059 | 1,048 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 924 | 912 | $49K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 621 | 603 | $29K |
| D9248 | 2.5% | 126 | 115 | $24K | |
| D0330 | Panoramic radiographic image | 2.5% | 531 | 521 | $23K |
| D0272 | Bitewings - two radiographic images | 2.0% | 1,207 | 1,184 | $19K |
10 more codes
| D1330 | 1.2% | 1,756 | $11K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 597 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 381 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 836 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 122 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 32 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 14 | $2K |
| D3120 | <1% | 61 | $2K | |
| D0250 | <1% | 75 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 117 | $742.80 |
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 officialTYLER, DAWN (DENTIST)