Dental
Mitchell Dental Clinic, INC
Mitchell Dental Clinic, INC was paid $969K by Medicaid between Jan 2018 and Dec 2024, across 20 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
ACKERMAN, MS 39735
ACKERMAN, MS 39735
33aNPI1578712980assigned 09/10/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$969K
24GClaims90,464
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#36 of 379
Median peer was paid$78K
This provider vs. median12×
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 | 35,542 | $98K | |
| 2019 | 26,498 | $148K | |
| 2020 | 7,906 | $157K | |
| 2021 | 6,760 | $195K | |
| 2022 | 9,245 | $219K | |
| 2023 | 2,932 | $86K | |
| 2024incomplete | 1,581 | $66K |
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% | 4,363 | 1,647 | $165K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 14,206 | 10,478 | $158K |
| D0330 | Panoramic radiographic image | 12% | 6,942 | 5,107 | $115K |
| D1206 | Topical application of fluoride varnish | 11% | 12,524 | 9,135 | $107K |
| D1351 | Sealant - per tooth | 10% | 16,015 | 1,924 | $97K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 9,552 | 6,146 | $72K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 4,102 | 3,603 | $70K |
| D0140 | Limited oral evaluation - problem focused | 5.8% | 3,065 | 2,314 | $56K |
| D0274 | Bitewings - four radiographic images | 3.9% | 5,446 | 3,910 | $38K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 956 | 507 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 2,952 | 1,771 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 3,179 | 2,396 | $15K |
8 more codes
| D0272 | Bitewings - two radiographic images | 1.4% | 4,490 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 146 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 916 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 187 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 91 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,216 | $2K |
| D1110 | Prophylaxis - adult | <1% | 84 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 32 | $39.16 |
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 | Macon, MS | $1.63M |
| 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.