NPI: 1861960270 · WORCESTER, MA 01610 · Oral and Maxillofacial Pathology Dentist · NPI assigned 11/05/2018
Authorized official MAYFIELD, DALE controls 20+ related entities in our dataset. Read more
| Authorized Official | MAYFIELD, DALE (PRESIDENT) |
| NPI Enumeration Date | 11/05/2018 |
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 | 1,450 | $60K |
| 2020 | 865 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 386 | 384 | $16K |
| D1110 | Prophylaxis - adult | 218 | 216 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 135 | 75 | $10K |
| D1120 | Prophylaxis - child | 202 | 202 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 112 | 105 | $6K |
| D1206 | Topical application of fluoride varnish | 281 | 280 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 58 | 32 | $5K |
| D0120 | Periodic oral evaluation - established patient | 161 | 161 | $4K |
| D0330 | Panoramic radiographic image | 123 | 122 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 226 | 214 | $4K |
| D0274 | Bitewings - four radiographic images | 82 | 82 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 37 | 24 | $3K |
| D0140 | Limited oral evaluation - problem focused | 72 | 68 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 23 | 13 | $203.00 |
| D1999 | 185 | 151 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 14 | 14 | $0.00 |