Dental
White, Nicole
White, Nicole was paid $670K by Medicaid between Jan 2018 and Jul 2020, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoWHITE, NICOLE
OSAGE BEACH, MO 65065
OSAGE BEACH, MO 65065
33aNPI1407015456assigned 06/05/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$670K
24GClaims13,164
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#18 of 260
Median peer was paid$78K
This provider vs. median8.6×
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 | 3,703 | $161K | |
| 2019 | 7,341 | $390K | |
| 2020 | 2,120 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,706 | 1,679 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 516 | 352 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,781 | 1,749 | $75K |
| D1206 | Topical application of fluoride varnish | 11% | 2,184 | 2,151 | $71K |
| D1351 | Sealant - per tooth | 7.2% | 1,170 | 352 | $48K |
| D0274 | Bitewings - four radiographic images | 6.8% | 900 | 899 | $45K |
| D1110 | Prophylaxis - adult | 5.7% | 491 | 487 | $38K |
| D0272 | Bitewings - two radiographic images | 5.0% | 895 | 895 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 238 | 172 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 485 | 485 | $30K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.3% | 227 | 119 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 1,118 | 1,081 | $27K |
6 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 385 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 118 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 474 | $12K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 149 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 282 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 45 | $2K |
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.