Dental
White Mountain Holdings LLC
White Mountain Holdings LLC was paid $132K by Medicaid between Dec 2022 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoWHITE MOUNTAIN HOLDINGS LLC
ANCHORAGE, AK 99518
ANCHORAGE, AK 99518
33aNPI1134843097assigned 10/03/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$132K
24GClaims1,845
24DCodes billed11
24AFirst – last monthDec 2022 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Alaska
Rank by total paid#34 of 80
Median peer was paid$63K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2022 | 20 | $803.76 | |
| 2023 | 823 | $59K | |
| 2024incomplete | 1,002 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 372 | 351 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 404 | 372 | $24K |
| D0274 | Bitewings - four radiographic images | 17% | 405 | 383 | $23K |
| D0330 | Panoramic radiographic image | 14% | 212 | 196 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 101 | 49 | $17K |
| D2740 | Crown - porcelain/ceramic | 5.4% | 22 | 13 | $7K |
| D1206 | Topical application of fluoride varnish | 3.5% | 172 | 167 | $5K |
| D2950 | 2.6% | 17 | 15 | $3K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 38 | 38 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 83 | 73 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 19 | 14 | $254.04 |
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 officialPLOURDE, PHILLIP (OWNER)