Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Prince William Parkway Dental PC

Prince William Parkway Dental PC was paid $133K by Medicaid between Jun 2019 and Nov 2020, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.

33Billing provider infoPRINCE WILLIAM PARKWAY DENTAL PC
WOODBRIDGE, VA 22192
33aNPI1154892677assigned 12/10/2018
33bProvider typeEndodontist
28Total paid$133K
24GClaims5,081
24DCodes billed17
24AFirst – last monthJun 2019 – Nov 2020
Compared with peers

Next to other Endodontist providers in Virginia

Rank by total paid#14 of 38
Median peer was paid$69K
This provider vs. median1.9×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20192,047$55K
20203,034$78K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 19% 307 172 $26K
D1120 Dental cleaning, childProphylaxis - child 15% 607 606 $20K
D1206 Topical application of fluoride varnish 13% 831 829 $17K
D1110 Prophylaxis - adult 10% 300 297 $13K
D0150 Comprehensive oral evaluation - new or established patient 9.1% 488 401 $12K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.4% 579 577 $11K
D0274 Bitewings - four radiographic images 4.3% 252 250 $6K
D0220 Intraoral - periapical first radiographic image 3.5% 542 424 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.8% 117 97 $4K
D0330 Panoramic radiographic image 2.8% 108 72 $4K
D0230 Intraoral - periapical each additional radiographic image 2.8% 453 318 $4K
D0272 Bitewings - two radiographic images 2.8% 198 195 $4K
5 more codes
D1351 Sealant - per tooth 2.5% 103 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.2% 40 $3K
D0210 Intraoral - complete series of radiographic images 1.9% 71 $2K
D0140 Limited oral evaluation - problem focused <1% 19 $273.13
D1999 0% 66 $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)
Same official

Other billing entities under MAYFIELD, DALE

Full network →
ProviderLocationPaid
KS2 MS ,PCBiloxi, MS$16.22M
KS2 MS PCHattiesburg, MS$10.15M
47TH Street Dental Center, LLCKansas City, KS$8.95M
KS2 MS, PCJackson, MS$8.50M
East 53RD Street Dental-1, PCIndianapolis, IN$7.41M
East 29TH Street Dental Center, LLCTopeka, KS$5.92M
Great Plains Dental Group, LLCWichita, KS$5.80M
North Mesa Dental, PCLubbock, TX$4.47M
KS2 MS PCJackson, MS$4.11M
North Mesa Dental, PCSherman, TX$3.99M
KS Az-2, PCTucson, AZ$3.66M
North Mesa Dental, PCLufkin, TX$3.37M
KS2 MS PCTupelo, MS$3.14M
North Mesa Dental, PCLongview, TX$3.11M
North Mesa Dental, PCAmarillo, TX$2.93M
North Mesa Dental, PCWichita Falls, TX$2.88M
North Mesa Dental, PCSan Angelo, TX$2.77M
North Mesa Dental, PCLongview, TX$2.27M
North Mesa Dental, PCOdessa, TX$2.23M
KS Az-2, PCTucson, AZ$2.13M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.