Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › HARLAN › WHITE PINE DENTAL GROUP PLLC

WHITE PINE DENTAL GROUP PLLC

NPI: 1043443260 · HARLAN, IA 51537 · General Practice Dentistry · NPI assigned 09/04/2009

$12K
Total Medicaid Paid
735
Total Claims
709
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialMARKHAM, PHILLIP (OWNER/DENTIST)
NPI Enumeration Date09/04/2009

Related Entities

Other providers sharing the same authorized official: MARKHAM, PHILLIP

ProviderCityStateTotal Paid
MARKHAM FAMILY DENTAL ASSOCIATES, INC. HARLAN IA $95K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 735 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 312 297 $5K
D1120 Prophylaxis - child 184 179 $4K
D1206 Topical application of fluoride varnish 226 220 $3K
D0272 Bitewings - two radiographic images 13 13 $212.81