White Smiles Family Dentistry

White Smiles Family Dentistry was paid $8K by Medicaid between Feb 2018 and May 2023, across 6 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 32% of everything it billed.

33Billing provider infoWHITE SMILES FAMILY DENTISTRY
FORT FAIRFIELD, ME 04742

33aNPI1346679503assigned 11/07/2013

33bProvider typeDentist

28Total paid$8K

24GClaims521

24DCodes billed6

24AFirst – last monthFeb 2018 – May 2023

Compared with peers

Next to other Dentist providers in Maine

Rank by total paid#22 of 36

Median peer was paid$11K

This provider vs. median0.8×

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
2018	223	$3K
2019	159	$3K
2020	35	$336.00
2021	75	$1K
2023	29	$604.32

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	32%	228	210	$3K
D1110	Prophylaxis - adult	23%	59	53	$2K
D1120	Dental cleaning, childProphylaxis - child	18%	57	54	$2K
D1206	Topical application of fluoride varnish	16%	131	118	$1K
D0274	Bitewings - four radiographic images	6.5%	31	28	$540.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.0%	15	12	$330.00

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 officialWINTERS, CAMI (OFFICE PERSON)