Medicaid Provider Spending

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

MAGNOLIA GROVE CITY LLC

NPI: 1891308029 · GROVE CITY, OH 43123 · Dental Clinic/Center · NPI assigned 08/27/2020

$4K
Total Medicaid Paid
104
Total Claims
101
Beneficiaries
3
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSAMMONS, JENNIFER (REGIONAL OPERATIONS MANAGER)
NPI Enumeration Date08/27/2020

Related Entities

Other providers sharing the same authorized official: SAMMONS, JENNIFER

ProviderCityStateTotal Paid
NEW DAY CENTERVILLE LLC CENTERVILLE OH $1.74M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 31 $0.00
2024 73 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 59 59 $3K
D0210 Intraoral - complete series of radiographic images 14 14 $1K
D1999 31 28 $0.00