MAGNOLIA GROVE CITY LLC
NPI: 1891308029
· GROVE CITY, OH 43123
· Dental Clinic/Center
· NPI assigned 08/27/2020
Provider Details
| Authorized Official | SAMMONS, JENNIFER (REGIONAL OPERATIONS MANAGER) |
| NPI Enumeration Date | 08/27/2020 |
Related Entities
Other providers sharing the same authorized official: SAMMONS, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
31 |
$0.00 |
| 2024 |
73 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |