NPI: 1760494249 · SAVANNAH, GA 31404 · General Practice Dentistry · NPI assigned 08/12/2006
Authorized official MAYFIELD, DALE controls 20+ related entities in our dataset. Read more
| Authorized Official | MAYFIELD, DALE (CHIEF DENTAL OFFICER) |
| NPI Enumeration Date | 08/12/2006 |
Other providers sharing the same authorized official: MAYFIELD, DALE
| Provider | City | State | Total 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 |
| KS2 MS PC | TUPELO | MS | $3.14M |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,236 | $172K |
| 2019 | 1,583 | $39K |
| 2020 | 6,689 | $178K |
| 2021 | 8,592 | $222K |
| 2022 | 7,817 | $193K |
| 2023 | 7,008 | $164K |
| 2024 | 5,422 | $139K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 5,358 | 5,358 | $528K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,520 | 2,104 | $234K |
| D1120 | Prophylaxis - child | 1,552 | 1,551 | $109K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 532 | 378 | $83K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,201 | 817 | $40K |
| D7140 | Extraction, erupted tooth or exposed root | 851 | 281 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 886 | 886 | $31K |
| D0140 | Limited oral evaluation - problem focused | 1,142 | 1,136 | $25K |
| D0274 | Bitewings - four radiographic images | 4,326 | 4,326 | $7K |
| D0330 | Panoramic radiographic image | 107 | 107 | $5K |
| D0120 | Periodic oral evaluation - established patient | 6,042 | 6,042 | $3K |
| D4341 | 45 | 16 | $3K | |
| D1351 | Sealant - per tooth | 1,286 | 198 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 15 | 15 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3,117 | 2,899 | $715.01 |
| D0220 | Intraoral - periapical first radiographic image | 3,575 | 3,539 | $85.46 |
| D0272 | Bitewings - two radiographic images | 1,802 | 1,802 | $41.47 |
| D9986 | 72 | 71 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 5,131 | 5,130 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3,787 | 1,935 | $0.00 |