NPI: 1154899201 · FORT KENT, ME 04743 · Dental Clinic/Center · NPI assigned 11/07/2018
| Authorized Official | WHITE, JOSEPH (OWNER) |
| NPI Enumeration Date | 11/07/2018 |
Other providers sharing the same authorized official: WHITE, JOSEPH
| Provider | City | State | Total Paid |
|---|---|---|---|
| MOLINA HEALTHCARE OF WASHINGTON, INC | BOTHELL | WA | $7.84M |
| FOUNDATION FOR FAMILY LIFE | RIVERTON | UT | $1.72M |
| FOUNDATION FOR FAMILY LIFE | RIVERTON | UT | $460K |
| JOSEPH D. WHITE EAR, NOSE, THROAT MEDICINE & SURGERY PC | DOVER | NH | $57K |
| FOUNDATION FOR FAMILY LIFE | RIVERTON | UT | $24K |
| WHITE SMILES FAMILY DENTISTRY | PRESQUE ISLE | ME | $10K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $156.00 |
| 2021 | 25 | $288.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | 38 | 37 | $444.00 |