Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ME › PRESQUE ISLE › WHITE SMILES FAMILY DENTISTRY

WHITE SMILES FAMILY DENTISTRY

NPI: 1245628916 · PRESQUE ISLE, ME 04769 · General Practice Dentistry · NPI assigned 01/05/2015

$10K
Total Medicaid Paid
360
Total Claims
324
Beneficiaries
7
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWHITE, JOSEPH (DENTIST)
NPI Enumeration Date01/05/2015

Related Entities

Other providers sharing the same authorized official: WHITE, JOSEPH

ProviderCityStateTotal 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 FORT KENT ME $444.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $168.00
2019 141 $2K
2020 33 $396.00
2021 12 $144.00
2024 159 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 130 122 $6K
D1208 Topical application of fluoride, excluding varnish 106 102 $1K
D1120 Prophylaxis - child 48 38 $990.00
D0220 Intraoral - periapical first radiographic image 29 24 $554.00
D0120 Periodic oral evaluation - established patient 15 13 $270.00
D1110 Prophylaxis - adult 17 12 $240.00
D0274 Bitewings - four radiographic images 15 13 $200.00