White, Daniel

White, Daniel was paid $7K by Medicaid between Jan 2018 and Jan 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 58% of everything it billed.

33Billing provider infoWHITE, DANIEL
GOSHEN, IN 46528

33aNPI1124032578assigned 07/28/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$7K

24GClaims685

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#540 of 723

Median peer was paid$60K

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.

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	649	$5K
2019	36	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	58%	263	254	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	268	257	$2K
D0140	Limited oral evaluation - problem focused	3.3%	15	15	$222.48
D0230	Intraoral - periapical each additional radiographic image	2.9%	48	30	$190.00
D0150	Comprehensive oral evaluation - new or established patient	2.7%	13	13	$177.50
D0274	Bitewings - four radiographic images	2.6%	27	27	$175.85
D1208	Topical application of fluoride, excluding varnish	1.0%	51	50	$67.17

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.