Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRINCE WILLIAM PARKWAY DENTAL PC

NPI: 1154892677 · WOODBRIDGE, VA 22192 · Endodontist · NPI assigned 12/10/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MAYFIELD, DALE controls 20+ related entities in our dataset. Read more

$133K
Total Medicaid Paid
5,081
Total Claims
4,434
Beneficiaries
17
Codes Billed
2019-06
First Month
2020-11
Last Month

Provider Details

Authorized OfficialMAYFIELD, DALE (PRESIDENT)
NPI Enumeration Date12/10/2018

Related Entities

Other providers sharing the same authorized official: MAYFIELD, DALE

ProviderCityStateTotal 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 SAN ANGELO TX $2.77M
NORTH MESA DENTAL, PC LONGVIEW TX $2.27M
NORTH MESA DENTAL, PC ODESSA TX $2.23M
KS AZ-2, PC TUCSON AZ $2.13M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,047 $55K
2020 3,034 $78K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 307 172 $26K
D1120 607 606 $20K
D1206 831 829 $17K
D1110 300 297 $13K
D0150 488 401 $12K
D0120 579 577 $11K
D0274 252 250 $6K
D0220 542 424 $5K
D9230 117 97 $4K
D0330 108 72 $4K
D0230 453 318 $4K
D0272 198 195 $4K
D1351 103 39 $3K
D2391 40 28 $3K
D0210 71 71 $2K
D0140 19 12 $273.13
D1999 66 46 $0.00