MAGNOLIA SMILES OF PETAL PLLC
NPI: 1396483871
· PETAL, MS 39465
· Dentist
· NPI assigned 05/24/2022
Provider Details
| Authorized Official | JONES, OSCAR (OWNER/ DENTIST) |
| NPI Enumeration Date | 05/24/2022 |
Related Entities
Other providers sharing the same authorized official: JONES, OSCAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
230 |
$4K |
| 2024 |
304 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
165 |
131 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
29 |
15 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
116 |
94 |
$3K |
| D1206 |
Topical application of fluoride varnish |
112 |
86 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
43 |
39 |
$2K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$814.69 |
| D0274 |
Bitewings - four radiographic images |
24 |
23 |
$388.90 |
| D0220 |
Intraoral - periapical first radiographic image |
19 |
13 |
$153.50 |