Dental
White Smiles Family Dentistry
White Smiles Family Dentistry was paid $1.59M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoWHITE SMILES FAMILY DENTISTRY
ALBERTVILLE, MN 55301
ALBERTVILLE, MN 55301
33aNPI1386049948assigned 10/24/2014
33bProvider typeDentist
28Total paid$1.59M
24GClaims41,916
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#14 of 192
Median peer was paid$9K
This provider vs. median174×
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 | 3,792 | $9K | |
| 2019 | 352 | $11K | |
| 2020 | 1,399 | $35K | |
| 2021 | 5,948 | $208K | |
| 2022 | 9,812 | $442K | |
| 2023 | 11,582 | $486K | |
| 2024incomplete | 9,031 | $403K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 4,214 | 4,196 | $247K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 2,142 | 1,079 | $190K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 5,198 | 5,184 | $175K |
| D0274 | Bitewings - four radiographic images | 8.7% | 3,276 | 3,267 | $139K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 2,926 | 2,920 | $114K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 2,331 | 2,319 | $109K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 5,563 | 5,446 | $103K |
| D0330 | Panoramic radiographic image | 6.0% | 1,153 | 1,147 | $96K |
| D1206 | Topical application of fluoride varnish | 5.9% | 3,621 | 3,610 | $94K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 5,226 | 4,428 | $74K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 644 | 416 | $48K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 950 | 922 | $41K |
12 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.4% | 383 | $39K |
| D1330 | 2.2% | 1,955 | $35K | |
| D0272 | Bitewings - two radiographic images | 1.6% | 652 | $25K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 128 | $19K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 758 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 131 | $15K |
| D1351 | Sealant - per tooth | <1% | 318 | $9K |
| D1354 | <1% | 105 | $4K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 36 | $3K |
| D2330 | <1% | 19 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 14 | $1K |
| D1999 | 0% | 173 | $0.00 |
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 officialWHITE, DUSTIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| White Smiles Family Dentistry PLLC | Minneapolis, MN | $220K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.