Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAGNOLIA SPRINGS DENTAL, LLC

NPI: 1295457901 · MAGNOLIA SPRINGS, AL 36555 · Dental Clinic/Center · NPI assigned 09/19/2022

$3K
Total Medicaid Paid
134
Total Claims
121
Beneficiaries
5
Codes Billed
2024-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPISCHEK, MATTHEW (OWNER)
NPI Enumeration Date09/19/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 134 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 38 38 $1K
D1206 Topical application of fluoride varnish 27 26 $678.60
D0120 Periodic oral evaluation - established patient 31 29 $556.60
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 20 15 $544.00
D0140 Limited oral evaluation - problem focused 18 13 $487.20