WHITE SMILES FAMILY DENTISTRY
NPI: 1154899201
· FORT KENT, ME 04743
· Dental Clinic/Center
· NPI assigned 11/07/2018
$444.00
Total Medicaid Paid
Provider Details
| Authorized Official | WHITE, JOSEPH (OWNER) |
| NPI Enumeration Date | 11/07/2018 |
Related Entities
Other providers sharing the same authorized official: WHITE, JOSEPH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
13 |
$156.00 |
| 2021 |
25 |
$288.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1208 |
Topical application of fluoride, excluding varnish |
38 |
37 |
$444.00 |