NPI: 1154892677 · WOODBRIDGE, VA 22192 · Endodontist · NPI assigned 12/10/2018
Authorized official MAYFIELD, DALE controls 20+ related entities in our dataset. Read more
| Authorized Official | MAYFIELD, DALE (PRESIDENT) |
| NPI Enumeration Date | 12/10/2018 |
Other providers sharing the same authorized official: MAYFIELD, DALE
| Provider | City | State | Total 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,047 | $55K |
| 2020 | 3,034 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 307 | 172 | $26K |
| D1120 | Prophylaxis - child | 607 | 606 | $20K |
| D1206 | Topical application of fluoride varnish | 831 | 829 | $17K |
| D1110 | Prophylaxis - adult | 300 | 297 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 488 | 401 | $12K |
| D0120 | Periodic oral evaluation - established patient | 579 | 577 | $11K |
| D0274 | Bitewings - four radiographic images | 252 | 250 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 542 | 424 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 117 | 97 | $4K |
| D0330 | Panoramic radiographic image | 108 | 72 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 453 | 318 | $4K |
| D0272 | Bitewings - two radiographic images | 198 | 195 | $4K |
| D1351 | Sealant - per tooth | 103 | 39 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 40 | 28 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 71 | 71 | $2K |
| D0140 | Limited oral evaluation - problem focused | 19 | 12 | $273.13 |
| D1999 | 66 | 46 | $0.00 |