Clinic
White Pine Dental Health, PLLC
White Pine Dental Health, PLLC was paid $76K by Medicaid between Aug 2022 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoWHITE PINE DENTAL HEALTH, PLLC
BELLEVILLE, MI 48111
BELLEVILLE, MI 48111
33aNPI1144969510assigned 06/02/2022
33bProvider typeDental Clinic/Center
28Total paid$76K
24GClaims1,858
24DCodes billed9
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#152 of 431
Median peer was paid$24K
This provider vs. median3.1×
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 | 123 | $3K | |
| 2023 | 829 | $32K | |
| 2024incomplete | 906 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 241 | 241 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 369 | 369 | $10K |
| D1206 | Topical application of fluoride varnish | 13% | 394 | 394 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 75 | 36 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 255 | 255 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 190 | 190 | $8K |
| D0330 | Panoramic radiographic image | 9.4% | 111 | 111 | $7K |
| D0274 | Bitewings - four radiographic images | 8.3% | 196 | 196 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 27 | 26 | $466.40 |
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 officialWEBSTER, DEANGELO (OWNER/DENTIST)