MAYFIELD, DALE
NPI: 1023110558
· DECATUR, GA 30035
· General Practice Dentistry
· NPI assigned 09/04/2006
$541.32
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
28 |
$541.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$279.36 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$261.96 |