WHITE PINE DENTAL HEALTH, PLLC
NPI: 1144969510
· BELLEVILLE, MI 48111
· Dental Clinic/Center
· NPI assigned 06/02/2022
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
123 |
$3K |
| 2023 |
829 |
$32K |
| 2024 |
906 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
241 |
241 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
369 |
369 |
$10K |
| D1206 |
Topical application of fluoride varnish |
394 |
394 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
75 |
36 |
$10K |
| D1120 |
Prophylaxis - child |
255 |
255 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
190 |
190 |
$8K |
| D0330 |
Panoramic radiographic image |
111 |
111 |
$7K |
| D0274 |
Bitewings - four radiographic images |
196 |
196 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
26 |
$466.40 |