Mayfield, Dale

Mayfield, Dale was paid $541.32 by Medicaid between Jan 2019 and Jan 2019, across 2 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 52% of everything it billed.

33Billing provider infoMAYFIELD, DALE
DECATUR, GA 30035

33aNPI1023110558assigned 09/04/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$541.32

24GClaims28

24DCodes billed2

24AFirst – last monthJan 2019 – Jan 2019

Compared with peers

Next to other General Practice Dentistry providers in Georgia

Rank by total paid#57 of 63

Median peer was paid$30K

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

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
2019	28	$541.32

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	52%	16	16	$279.36
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	48%	12	12	$261.96

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.