Dental
East Washington Street Dental Indy, In, PC
East Washington Street Dental Indy, In, PC was paid $540K by Medicaid between Oct 2018 and Aug 2020, across 23 billing codes. Its largest line is D1351, Sealant - per tooth — 14% of everything it billed.
33Billing provider infoEAST WASHINGTON STREET DENTAL INDY, IN, PC
INDIANAPOLIS, IN 46229
INDIANAPOLIS, IN 46229
33aNPI1992299689assigned 06/18/2018
33bProvider typeEndodontist
28Total paid$540K
24GClaims17,841
24DCodes billed23
24AFirst – last monthOct 2018 – Aug 2020
Compared with peers
Next to other Endodontist providers in Indiana
Rank by total paid#12 of 15
Median peer was paid$4.40M
This provider vs. median0.1×
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 MAYFIELD, DALE 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 | 1,426 | $24K | |
| 2019 | 10,928 | $358K | |
| 2020 | 5,487 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 14% | 2,900 | 541 | $74K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 410 | 221 | $63K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 1,719 | 1,605 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.3% | 1,364 | 1,254 | $45K |
| D1110 | Prophylaxis - adult | 7.3% | 861 | 805 | $39K |
| D1206 | Topical application of fluoride varnish | 5.9% | 1,579 | 1,475 | $32K |
| D0210 | Intraoral - complete series of radiographic images | 5.8% | 734 | 686 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.5% | 1,361 | 1,298 | $30K |
| D0272 | Bitewings - two radiographic images | 5.0% | 1,202 | 1,127 | $27K |
| D0274 | Bitewings - four radiographic images | 4.8% | 825 | 764 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 515 | 271 | $25K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 856 | 729 | $25K |
11 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 194 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 705 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 852 | $9K |
| D2140 | 1.6% | 137 | $8K | |
| D0330 | Panoramic radiographic image | 1.4% | 242 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.2% | 82 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 733 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 85 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 18 | $1K |
| D7111 | <1% | 19 | $1K | |
| D1999 | <1% | 448 | $180.00 |
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 officialMAYFIELD, DALE (PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.