Dental
Mitchell Dental Clinic, INC
Mitchell Dental Clinic, INC was paid $1.63M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoMITCHELL DENTAL CLINIC, INC
MACON, MS 39341
MACON, MS 39341
33aNPI1497981658assigned 06/02/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$1.63M
24GClaims53,167
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#15 of 379
Median peer was paid$78K
This provider vs. median21×
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 MITCHELL, JOHN 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 | 2,116 | $13K | |
| 2019 | 466 | $13K | |
| 2020 | 4,494 | $109K | |
| 2021 | 11,331 | $360K | |
| 2022 | 13,157 | $386K | |
| 2023 | 11,781 | $370K | |
| 2024incomplete | 9,822 | $378K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 2,869 | 1,467 | $276K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 8,599 | 7,757 | $229K |
| D1206 | Topical application of fluoride varnish | 9.7% | 7,167 | 6,433 | $158K |
| D0330 | Panoramic radiographic image | 9.5% | 5,038 | 4,511 | $155K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 5,026 | 4,560 | $129K |
| D1351 | Sealant - per tooth | 7.4% | 4,553 | 797 | $120K |
| D0140 | Limited oral evaluation - problem focused | 6.2% | 3,146 | 2,743 | $101K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 3,125 | 2,708 | $100K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 1,383 | 1,231 | $91K |
| D0274 | Bitewings - four radiographic images | 3.6% | 3,114 | 2,757 | $59K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 687 | 446 | $55K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.1% | 413 | 258 | $50K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 3,036 | $25K |
| D0272 | Bitewings - two radiographic images | 1.3% | 1,707 | $22K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 220 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 762 | $12K |
| D1110 | Prophylaxis - adult | <1% | 456 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,748 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 118 | $9K |
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 officialMITCHELL, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mitchell Dental Clinic, INC | Ackerman, MS | $969K |
| Balboa Healthcare, INC. | San Diego, CA | $812K |
| Cantaloupe Holdings, LLC | Santa Monica, CA | $737K |
| Pleasant Hillidence Opco, LLC | Pleasant Hill, CA | $617K |
| West Valleyidence Opco, LLC | West Hills, CA | $454K |
| Kumquat Holdings, LLC | Inglewood, CA | $119K |
| Mitchell Dental Clinic, INC | Flowood, MS | $86K |
| Cucumber Holdings, LLC | Chatsworth, CA | $68K |
| Ontarioidence Opco, LLC | Ontario, CA | $51K |
| Dragonfruit Holdings, LLC | San Jose, CA | $50K |
| Oral and Maxillofacial Surgery Associate of New Mexico, P.A. | Albuquerque, NM | $49K |
| Petunia Holdings, LLC | Napa, CA | $45K |
| Magnolia Holdings, LLC | Anderson, CA | $32K |
| Douglas Fir Holdings, LLC | Huntington Beach, CA | $24K |
| Petalumaidence Opco, LLC | Petaluma, CA | $18K |
| Napaidence Opco, LLC | Napa, CA | $17K |
| Norway Maple Holdings, LLC | Newport Beach, CA | $16K |
| Santa Rosaidence Opco, LLC | Santa Rosa, CA | $15K |
| Spruce Holdings, LLC | Visalia, CA | $12K |
| Nightshade Holdings, LLC | Ukiah, CA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.