Magnolia Springs Dental, LLC

Magnolia Springs Dental, LLC was paid $3K by Medicaid between Mar 2024 and Oct 2024, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.

33Billing provider infoMAGNOLIA SPRINGS DENTAL, LLC
MAGNOLIA SPRINGS, AL 36555

33aNPI1295457901assigned 09/19/2022

33bProvider typeDental Clinic/Center

28Total paid$3K

24GClaims134

24DCodes billed5

24AFirst – last monthMar 2024 – Oct 2024

Compared with peers

Next to other Dental Clinic/Center providers in Alabama

Rank by total paid#36 of 59

Median peer was paid$28K

This provider vs. median0.1×

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	134	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	33%	38	38	$1K
D1206	Topical application of fluoride varnish	20%	27	26	$678.60
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	31	29	$556.60
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	16%	20	15	$544.00
D0140	Limited oral evaluation - problem focused	14%	18	13	$487.20

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 officialPISCHEK, MATTHEW (OWNER)