WILL MAYFIELD DDS, PLLC
NPI: 1649700386
· CHANDLER, TX 75758
· General Practice Dentistry
· NPI assigned 06/15/2017
$580.30
Total Medicaid Paid
Provider Details
| Authorized Official | MAYFIELD, WILL (OWNER-DENTIST) |
| NPI Enumeration Date | 06/15/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
30 |
$176.40 |
| 2023 |
30 |
$403.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$403.90 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$176.40 |
| D0603 |
|
34 |
34 |
$0.00 |