Dental
47TH Street Dental Center, LLC
47TH Street Dental Center, LLC was paid $8.95M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is D1351, Sealant - per tooth — 18% of everything it billed.
33Billing provider info47TH STREET DENTAL CENTER, LLC
KANSAS CITY, KS 66102
KANSAS CITY, KS 66102
33aNPI1396116117assigned 10/20/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$8.95M
24GClaims291,593
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#4 of 203
Median peer was paid$40K
This provider vs. median224×
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
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 | |
|---|---|---|---|
| 2018 | 19,711 | $462K | |
| 2019 | 59,513 | $1.65M | |
| 2020 | 52,624 | $1.41M | |
| 2021 | 54,416 | $1.77M | |
| 2022 | 38,409 | $1.31M | |
| 2023 | 42,614 | $1.48M | |
| 2024incomplete | 24,306 | $873K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 18% | 62,688 | 17,963 | $1.64M |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 28,434 | 27,768 | $926K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 38,165 | 37,332 | $881K |
| D1206 | Topical application of fluoride varnish | 8.7% | 41,789 | 40,853 | $779K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.3% | 5,213 | 2,422 | $657K |
| D1110 | Prophylaxis - adult | 6.5% | 12,872 | 12,612 | $582K |
| D0272 | Bitewings - two radiographic images | 5.2% | 21,494 | 20,995 | $467K |
| D0274 | Bitewings - four radiographic images | 4.7% | 13,290 | 13,004 | $419K |
| D2140 | 4.6% | 7,489 | 5,152 | $409K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 4,969 | 3,070 | $398K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.3% | 13,649 | 12,471 | $387K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.2% | 4,400 | 3,230 | $288K |
21 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 3,216 | $274K |
| D0330 | Panoramic radiographic image | 3.0% | 7,164 | $265K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 1,887 | $175K |
| D0240 | 1.3% | 6,229 | $114K | |
| D7240 | Removal of impacted tooth - completely bony | 1.1% | 588 | $99K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,849 | $84K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,991 | $39K |
| D0140 | Limited oral evaluation - problem focused | <1% | 747 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 120 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 393 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 941 | $11K |
| D2330 | <1% | 59 | $5K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 199 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 19 | $1K |
| D0251 | <1% | 53 | $1K | |
| D1330 | 0% | 108 | $0.00 | |
| D0603 | 0% | 110 | $0.00 | |
| D1310 | 0% | 108 | $0.00 | |
| D1320 | 0% | 18 | $0.00 | |
| D1999 | 0% | 9,269 | $0.00 | |
| D0350 | 0% | 73 | $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)
| Provider | Location | Paid |
|---|---|---|
| KS2 MS ,PC | Biloxi, MS | $16.22M |
| KS2 MS PC | Hattiesburg, MS | $10.15M |
| 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 |
| North Mesa Dental, PC | Abilene, TX | $2.10M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.