Supplier
Magnolia Canal Winchester LLC
Magnolia Canal Winchester LLC was paid $345K by Medicaid between Jan 2021 and Dec 2024, across 19 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 18% of everything it billed.
33Billing provider infoMAGNOLIA CANAL WINCHESTER LLC
CANAL WINCHESTER, OH 43110
CANAL WINCHESTER, OH 43110
33aNPI1649883018assigned 08/26/2020
33bProvider typeCustomized Equipment (DME)
28Total paid$345K
24GClaims8,519
24DCodes billed19
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Customized Equipment (DME) providers in Ohio
Rank by total paid#30 of 42
Median peer was paid$1.01M
This provider vs. median0.3×
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 | 71 | $2K | |
| 2022 | 1,452 | $41K | |
| 2023 | 1,764 | $46K | |
| 2024incomplete | 5,232 | $257K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 18% | 791 | 752 | $62K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 1,516 | 1,496 | $55K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 464 | 273 | $41K |
| D1110 | Prophylaxis - adult | 11% | 772 | 762 | $39K |
| D1206 | Topical application of fluoride varnish | 4.7% | 732 | 721 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 523 | 518 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.4% | 133 | 102 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.3% | 556 | 548 | $15K |
| D0330 | Panoramic radiographic image | 3.8% | 240 | 236 | $13K |
| D2740 | Crown - porcelain/ceramic | 3.5% | 15 | 12 | $12K |
| D0350 | 3.3% | 521 | 515 | $12K | |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 271 | 256 | $11K |
7 more codes
| D9944 | 2.9% | 27 | $10K | |
| D0274 | Bitewings - four radiographic images | 2.8% | 330 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 767 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 65 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 724 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 58 | $1K |
| D1999 | 0% | 14 | $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 officialKOENEMAN, MEGHAN (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
| Provider | Location | Paid |
|---|---|---|
| Magnolia Centerville LLC | Centerville, OH | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.