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

West Indy Pippin Dental PC

West Indy Pippin Dental PC was paid $191K by Medicaid between Mar 2019 and Aug 2020, across 19 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 13% of everything it billed.

33Billing provider infoWEST INDY PIPPIN DENTAL PC
INDIANAPOLIS, IN 46214
33aNPI1356816037assigned 10/09/2018
33bProvider typePediatric Dentist
28Total paid$191K
24GClaims6,500
24DCodes billed19
24AFirst – last monthMar 2019 – Aug 2020
Compared with peers

Next to other Pediatric Dentist providers in Indiana

Rank by total paid#89 of 155
Median peer was paid$414K
This provider vs. median0.5×

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$10K$20K$30K2018201920202021202220232024
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
20194,078$125K
20202,422$65K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 13% 735 598 $24K
D1110 Prophylaxis - adult 12% 483 420 $22K
D1120 Dental cleaning, childProphylaxis - child 11% 687 591 $21K
D0210 Intraoral - complete series of radiographic images 10% 397 356 $20K
D1206 Topical application of fluoride varnish 8.8% 860 749 $17K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.6% 225 140 $16K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.0% 598 560 $13K
D0274 Bitewings - four radiographic images 6.7% 411 358 $13K
D1351 Sealant - per tooth 4.4% 293 54 $8K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.3% 335 240 $8K
D0272 Bitewings - two radiographic images 4.2% 391 337 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.6% 88 58 $5K
7 more codes
D0330 Panoramic radiographic image 2.4% 190 $5K
D1208 Topical application of fluoride, excluding varnish 1.7% 180 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.2% 23 $2K
D0140 Limited oral evaluation - problem focused 1.1% 59 $2K
D0220 Intraoral - periapical first radiographic image <1% 168 $2K
D0230 Intraoral - periapical each additional radiographic image <1% 65 $478.00
D1999 <1% 312 $345.00

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.