Medicaid Provider Spending

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

MAGNOLIA CENTERVILLE LLC

NPI: 1891308011 · CENTERVILLE, OH 45459 · Dental Clinic/Center · NPI assigned 08/27/2020

$7K
Total Medicaid Paid
119
Total Claims
12
Beneficiaries
1
Codes Billed
2022-11
First Month
2022-11
Last Month

Provider Details

Authorized OfficialKOENEMAN, MEGHAN (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
NPI Enumeration Date08/27/2020

Related Entities

Other providers sharing the same authorized official: KOENEMAN, MEGHAN

ProviderCityStateTotal Paid
MAGNOLIA CANAL WINCHESTER LLC CANAL WINCHESTER OH $345K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 119 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 119 12 $7K