Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › TUPELO › KS2 MS PC

KS2 MS PC

NPI: 1528258464 · TUPELO, MS 38801 · Endodontist · NPI assigned 07/26/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MAYFIELD, DALE controls 20+ related entities in our dataset. Read more

$3.14M
Total Medicaid Paid
94,607
Total Claims
76,419
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAYFIELD, DALE (PRESIDENT)
NPI Enumeration Date07/26/2007

Related Entities

Other providers sharing the same authorized official: MAYFIELD, DALE

ProviderCityStateTotal Paid
KS2 MS ,PC BILOXI MS $16.22M
KS2 MS PC HATTIESBURG MS $10.15M
47TH STREET DENTAL CENTER, LLC KANSAS CITY KS $8.95M
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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,847 $72K
2019 3,822 $62K
2020 3,075 $61K
2021 12,401 $377K
2022 11,023 $244K
2023 17,854 $498K
2024 43,585 $1.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13,394 12,576 $358K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,421 2,255 $356K
D1351 Sealant - per tooth 12,818 2,877 $306K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,392 2,196 $272K
D1206 Topical application of fluoride varnish 10,160 9,493 $224K
D8670 Periodic orthodontic treatment visit 1,742 1,701 $215K
D0120 Periodic oral evaluation - established patient 8,055 7,546 $199K
D0150 Comprehensive oral evaluation - new or established patient 5,019 4,757 $189K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 94 94 $121K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4,455 3,885 $116K
D0330 Panoramic radiographic image 3,777 3,522 $114K
D2930 Prefabricated stainless steel crown - primary tooth 685 279 $96K
D0210 Intraoral - complete series of radiographic images 1,153 1,153 $86K
D0274 Bitewings - four radiographic images 4,399 4,212 $80K
D0272 Bitewings - two radiographic images 5,149 4,853 $70K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 450 361 $62K
D0220 Intraoral - periapical first radiographic image 5,787 5,429 $55K
D7140 Extraction, erupted tooth or exposed root 539 381 $42K
D1208 Topical application of fluoride, excluding varnish 2,535 2,473 $39K
D0230 Intraoral - periapical each additional radiographic image 4,803 3,890 $37K
D0140 Limited oral evaluation - problem focused 975 882 $35K
D1110 Prophylaxis - adult 354 351 $22K
D2330 150 97 $12K
D7240 Removal of impacted tooth - completely bony 44 13 $10K
D0340 142 140 $10K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 84 46 $7K
D2335 22 18 $3K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 26 26 $3K
D9222 27 27 $3K
D2332 18 15 $2K
D0350 47 46 $1K
D0270 43 43 $297.02
D1999 848 782 $0.00