NPI: 1841542198 · WACO, TX 76705 · Endodontist · NPI assigned 10/11/2012
Authorized official MAYFIELD, DALE controls 20+ related entities in our dataset. Read more
| Authorized Official | MAYFIELD, DALE (PRESIDENT) |
| NPI Enumeration Date | 10/11/2012 |
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 |
|---|---|---|
| 2019 | 24 | $150.30 |
| 2020 | 1,384 | $24K |
| 2021 | 769 | $22K |
| 2022 | 1,848 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 191 | 59 | $31K |
| D1351 | Sealant - per tooth | 568 | 95 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 86 | 32 | $7K |
| D1120 | Prophylaxis - child | 336 | 231 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 516 | 372 | $4K |
| D0120 | Periodic oral evaluation - established patient | 280 | 185 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 183 | 142 | $3K |
| D1110 | Prophylaxis - adult | 102 | 73 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 195 | 152 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 109 | 30 | $3K |
| D0274 | Bitewings - four radiographic images | 194 | 132 | $2K |
| D0272 | Bitewings - two radiographic images | 201 | 136 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 266 | 224 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 263 | 208 | $1K |
| D0330 | Panoramic radiographic image | 97 | 80 | $782.08 |
| D0603 | 329 | 291 | $0.00 | |
| D0601 | 25 | 15 | $0.00 | |
| D0602 | 66 | 38 | $0.00 | |
| D1999 | 18 | 16 | $0.00 |