MAGNOLIA ORTHODONTICS
NPI: 1114414802
· HATTIESBURG, MS 39402
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 04/18/2018
$1.98M
Total Medicaid Paid
Provider Details
| Authorized Official | TOUPS, PATTY (OFFICE MANAGER) |
| NPI Enumeration Date | 04/18/2018 |
Related Entities
Other providers sharing the same authorized official: TOUPS, PATTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
944 |
$90K |
| 2020 |
1,721 |
$168K |
| 2021 |
3,285 |
$340K |
| 2022 |
4,480 |
$507K |
| 2023 |
2,367 |
$261K |
| 2024 |
4,001 |
$609K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
13,609 |
11,606 |
$1.36M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
525 |
466 |
$509K |
| D0140 |
Limited oral evaluation - problem focused |
1,778 |
1,653 |
$66K |
| D0330 |
Panoramic radiographic image |
355 |
344 |
$18K |
| D0340 |
|
249 |
241 |
$14K |
| D0350 |
|
282 |
271 |
$8K |