Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Indianapolis › NPI 1477630556
Dental

East 53RD Street Dental-1, PC

East 53RD Street Dental-1, PC was paid $7.41M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 18% of everything it billed.

33Billing provider infoEAST 53RD STREET DENTAL-1, PC
INDIANAPOLIS, IN 46227
33aNPI1477630556assigned 11/01/2006
33bProvider typeEndodontist
28Total paid$7.41M
24GClaims266,622
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Endodontist providers in Indiana

Rank by total paid#5 of 15
Median peer was paid$4.40M
This provider vs. median1.7×

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$100K$200K2018201920202021202220232024
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
201862,627$250K
201948,958$1.62M
202016,797$506K
202126,617$923K
202237,278$1.35M
202337,948$1.35M
2024incomplete36,397$1.42M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 18% 10,912 5,313 $1.31M
D1351 Sealant - per tooth 13% 43,165 10,506 $988K
D1120 Dental cleaning, childProphylaxis - child 9.2% 25,406 24,280 $685K
D1206 Topical application of fluoride varnish 7.2% 27,940 26,674 $531K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.8% 26,679 25,555 $502K
D0272 Bitewings - two radiographic images 5.6% 21,833 20,834 $412K
D2140 4.5% 7,246 5,042 $333K
D1110 Prophylaxis - adult 4.5% 9,013 8,603 $330K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.1% 12,722 11,211 $307K
D2150 Silver amalgam - two surfaces, primary or permanent 3.5% 4,055 2,749 $259K
D0150 Comprehensive oral evaluation - new or established patient 3.2% 9,578 9,094 $237K
D7140 Extraction, erupted tooth or exposed root 3.1% 3,517 2,201 $231K
15 more codes
D0274 Bitewings - four radiographic images 3.0% 8,283 $219K
D0210 Intraoral - complete series of radiographic images 2.6% 6,827 $190K
D4346 2.4% 1,233 $176K
D0220 Intraoral - periapical first radiographic image 1.7% 14,871 $123K
D0230 Intraoral - periapical each additional radiographic image 1.5% 15,297 $109K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1.4% 1,389 $107K
D0330 Panoramic radiographic image 1.1% 2,441 $81K
D1208 Topical application of fluoride, excluding varnish 1.0% 7,231 $74K
D7111 <1% 1,270 $72K
D0140 Limited oral evaluation - problem focused <1% 1,630 $41K
D1354 <1% 395 $38K
D9920 <1% 1,103 $25K
D2160 <1% 392 $23K
D2330 <1% 151 $5K
D1999 <1% 2,043 $4K

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 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
North Mesa Dental, PCAbilene, TX$2.10M

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