ELIZABETH WHITE DDS PLLC
NPI: 1093385643
· GRAND RAPIDS, MI 49508
· Dental Clinic/Center
· NPI assigned 06/27/2021
Provider Details
Related Entities
Other providers sharing the same authorized official: WHITE, ELIZABETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
53 |
$1K |
| 2022 |
101 |
$2K |
| 2023 |
141 |
$3K |
| 2024 |
96 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
206 |
206 |
$4K |
| D1206 |
Topical application of fluoride varnish |
131 |
131 |
$3K |
| D1110 |
Prophylaxis - adult |
30 |
30 |
$1K |
| D1120 |
Prophylaxis - child |
24 |
24 |
$827.40 |