Dental
Magnolia Family Dentistry PLLC
Magnolia Family Dentistry PLLC was paid $5K by Medicaid between Jun 2021 and Jun 2024, across 7 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 26% of everything it billed.
33Billing provider infoMAGNOLIA FAMILY DENTISTRY PLLC
MAGNOLIA, TX 77354
MAGNOLIA, TX 77354
33aNPI1366074890assigned 02/12/2020
33bProvider typeEndodontist
28Total paid$5K
24GClaims569
24DCodes billed7
24AFirst – last monthJun 2021 – Jun 2024
Compared with peers
Next to other Endodontist providers in Texas
Rank by total paid#49 of 57
Median peer was paid$845K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 81 | $459.36 | |
| 2022 | 201 | $1K | |
| 2023 | 275 | $3K | |
| 2024incomplete | 12 | $148.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 26% | 116 | 111 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 26 | 25 | $918.75 |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 86 | 82 | $894.33 |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 60 | 56 | $817.32 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 27 | 26 | $750.10 |
| D0272 | Bitewings - two radiographic images | 5.7% | 13 | 12 | $280.56 |
| D0603 | 0% | 241 | 229 | $0.00 |
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 officialASHRAFI, MUJIB (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Copperfield Family Dentistry, PLLC | Houston, TX | $65K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.