Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AK › SOLDOTNA › STEPHEN WHITE DDS LLC

STEPHEN WHITE DDS LLC

NPI: 1073888418 · SOLDOTNA, AK 99669 · Dental Clinic/Center · NPI assigned 03/19/2012

$48K
Total Medicaid Paid
862
Total Claims
777
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialWHITE, STEPHEN (MANAGER)
NPI Enumeration Date03/19/2012

Related Entities

Other providers sharing the same authorized official: WHITE, STEPHEN

ProviderCityStateTotal Paid
GOODWILL INDUSTRIES OF NORTH CENTRAL WISCONSIN INC MENASHA WI $240K
STEPHEN A. WHITE, M.D., P.C. CLARKSVILLE TN $32K
FREDERICA VOLUNTEER FIRE COMPANY FREDERICA DE $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 552 $38K
2019 157 $5K
2020 113 $4K
2021 40 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 107 60 $18K
D1206 Topical application of fluoride varnish 357 337 $9K
D0120 Periodic oral evaluation - established patient 202 195 $9K
D1120 Prophylaxis - child 114 109 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 15 14 $2K
D1110 Prophylaxis - adult 29 29 $2K
D0274 Bitewings - four radiographic images 38 33 $2K