Dental
North Mesa Dental, PC
North Mesa Dental, PC was paid $2.77M by Medicaid between Mar 2018 and Dec 2024, across 32 billing codes. Its largest line is D1351, Sealant - per tooth — 16% of everything it billed.
33Billing provider infoNORTH MESA DENTAL, PC
SAN ANGELO, TX 76901
SAN ANGELO, TX 76901
33aNPI1003122177assigned 08/26/2010
33bProvider typeEndodontist
28Total paid$2.77M
24GClaims132,013
24DCodes billed32
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Endodontist providers in Texas
Rank by total paid#9 of 57
Median peer was paid$845K
This provider vs. median3.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MAYFIELD, DALE controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 163 | $3K | |
| 2019 | 3,902 | $18K | |
| 2020 | 21,253 | $297K | |
| 2021 | 37,727 | $826K | |
| 2022 | 29,492 | $684K | |
| 2023 | 18,890 | $416K | |
| 2024incomplete | 20,586 | $524K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 16% | 25,153 | 4,791 | $452K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 10,800 | 10,752 | $268K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 3,570 | 2,264 | $256K |
| D0145 | Oral evaluation for a patient under three years of age | 8.4% | 2,833 | 2,815 | $233K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.4% | 2,312 | 872 | $232K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 10,026 | 9,980 | $206K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 2,810 | 1,877 | $158K |
| D1110 | Prophylaxis - adult | 5.7% | 4,287 | 4,270 | $157K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 5,041 | 5,012 | $126K |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 12,724 | 12,655 | $125K |
| D0274 | Bitewings - four radiographic images | 3.5% | 5,158 | 5,141 | $98K |
| D0272 | Bitewings - two radiographic images | 3.5% | 7,252 | 7,216 | $97K |
20 more codes
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 1,312 | $86K |
| D0330 | Panoramic radiographic image | 1.8% | 4,037 | $50K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 2,671 | $47K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 5,443 | $40K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 4,534 | $30K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 134 | $26K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 368 | $22K |
| D1206 | Topical application of fluoride varnish | <1% | 1,962 | $20K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 183 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 256 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 457 | $7K |
| D2934 | <1% | 30 | $3K | |
| D0350 | <1% | 192 | $1K | |
| D7111 | <1% | 56 | $446.60 | |
| D9310 | <1% | 40 | $240.57 | |
| D0270 | <1% | 12 | $56.95 | |
| D1999 | 0% | 657 | $0.00 | |
| D0603 | 0% | 15,537 | $0.00 | |
| D0602 | 0% | 1,700 | $0.00 | |
| D0601 | 0% | 466 | $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 officialMAYFIELD, DALE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| KS2 MS ,PC | Biloxi, MS | $16.22M |
| KS2 MS PC | Hattiesburg, MS | $10.15M |
| 47TH Street Dental Center, LLC | Kansas City, KS | $8.95M |
| KS2 MS, PC | Jackson, MS | $8.50M |
| East 53RD Street Dental-1, PC | Indianapolis, IN | $7.41M |
| East 29TH Street Dental Center, LLC | Topeka, KS | $5.92M |
| Great Plains Dental Group, LLC | Wichita, KS | $5.80M |
| North Mesa Dental, PC | Lubbock, TX | $4.47M |
| KS2 MS PC | Jackson, MS | $4.11M |
| North Mesa Dental, PC | Sherman, TX | $3.99M |
| KS Az-2, PC | Tucson, AZ | $3.66M |
| North Mesa Dental, PC | Lufkin, TX | $3.37M |
| KS2 MS PC | Tupelo, MS | $3.14M |
| North Mesa Dental, PC | Longview, TX | $3.11M |
| North Mesa Dental, PC | Amarillo, TX | $2.93M |
| North Mesa Dental, PC | Wichita Falls, TX | $2.88M |
| North Mesa Dental, PC | Longview, TX | $2.27M |
| North Mesa Dental, PC | Odessa, TX | $2.23M |
| KS Az-2, PC | Tucson, AZ | $2.13M |
| North Mesa Dental, PC | Abilene, TX | $2.10M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.