NPI: 1497981658 · MACON, MS 39341 · General Practice Dentistry · NPI assigned 06/02/2009
Authorized official MITCHELL, JOHN controls 20+ related entities in our dataset. Read more
| Authorized Official | MITCHELL, JOHN (OWNER) |
| NPI Enumeration Date | 06/02/2009 |
Other providers sharing the same authorized official: MITCHELL, JOHN
| Provider | City | State | Total 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,116 | $13K |
| 2019 | 466 | $13K |
| 2020 | 4,494 | $109K |
| 2021 | 11,331 | $360K |
| 2022 | 13,157 | $386K |
| 2023 | 11,781 | $370K |
| 2024 | 9,822 | $378K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,869 | 1,467 | $276K |
| D1120 | Prophylaxis - child | 8,599 | 7,757 | $229K |
| D1206 | Topical application of fluoride varnish | 7,167 | 6,433 | $158K |
| D0330 | Panoramic radiographic image | 5,038 | 4,511 | $155K |
| D0120 | Periodic oral evaluation - established patient | 5,026 | 4,560 | $129K |
| D1351 | Sealant - per tooth | 4,553 | 797 | $120K |
| D0140 | Limited oral evaluation - problem focused | 3,146 | 2,743 | $101K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,125 | 2,708 | $100K |
| D0210 | Intraoral - complete series of radiographic images | 1,383 | 1,231 | $91K |
| D0274 | Bitewings - four radiographic images | 3,114 | 2,757 | $59K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 687 | 446 | $55K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 413 | 258 | $50K |
| D0220 | Intraoral - periapical first radiographic image | 3,036 | 2,622 | $25K |
| D0272 | Bitewings - two radiographic images | 1,707 | 1,483 | $22K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 220 | 66 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 762 | 637 | $12K |
| D1110 | Prophylaxis - adult | 456 | 358 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,748 | 629 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 118 | 69 | $9K |