Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Magnolia Grove City LLC

Magnolia Grove City LLC was paid $4K by Medicaid between Nov 2020 and Nov 2024, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 73% of everything it billed.

33Billing provider infoMAGNOLIA GROVE CITY LLC
GROVE CITY, OH 43123
33aNPI1891308029assigned 08/27/2020
33bProvider typeDental Clinic/Center
28Total paid$4K
24GClaims104
24DCodes billed3
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Dental Clinic/Center providers in Ohio

Rank by total paid#101 of 111
Median peer was paid$236K
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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
202031$0.00
2024incomplete73$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 73% 59 59 $3K
D0210 Intraoral - complete series of radiographic images 27% 14 14 $1K
D1999 0% 31 28 $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 officialSAMMONS, JENNIFER (REGIONAL OPERATIONS MANAGER)
Same official

Other billing entities under SAMMONS, JENNIFER

Full network →
ProviderLocationPaid
New Day Centerville LLCCenterville, OH$1.74M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.