Dental
White Spruce Smiles Dental, PLLC
White Spruce Smiles Dental, PLLC was paid $349K by Medicaid between Dec 2022 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoWHITE SPRUCE SMILES DENTAL, PLLC
ROCHESTER, NY 14623
ROCHESTER, NY 14623
33aNPI1568108496assigned 05/12/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$349K
24GClaims10,948
24DCodes billed17
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#426 of 2,184
Median peer was paid$54K
This provider vs. median6.5×
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 | |
|---|---|---|---|
| 2022 | 15 | $239.40 | |
| 2023 | 3,884 | $117K | |
| 2024incomplete | 7,049 | $232K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 2,248 | 2,248 | $81K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 2,519 | 2,519 | $64K |
| D1206 | Topical application of fluoride varnish | 16% | 2,073 | 2,073 | $56K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 11% | 824 | 767 | $40K |
| D1110 | Prophylaxis - adult | 8.4% | 644 | 644 | $29K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.7% | 270 | 187 | $20K |
| D1351 | Sealant - per tooth | 4.2% | 433 | 114 | $15K |
| D0272 | Bitewings - two radiographic images | 3.3% | 588 | 588 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 420 | 420 | $6K |
| D0330 | Panoramic radiographic image | 1.6% | 115 | 115 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 343 | 336 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 73 | 39 | $3K |
5 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 140 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 34 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 89 | $3K |
| D2394 | <1% | 16 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 119 | $1K |
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 officialMORELLO, JENNIFER (DIRECTOR OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Victor Smiles Dental, PLLC | Victor, NY | $268K |
| Finger Lakes Dental Care, PC | Canandaigua, NY | $264K |
| Finger Lakes Dental Care of Naples, PLLC | Naples, NY | $153K |
| Finger Lakes Dental Care of Palmyra, PLLC | Palmyra, NY | $145K |
| Finger Lakes Dental Care of Victor, PLLC | Victor, NY | $82K |
| Finger Lakes Dental Care of West Henrietta, PLLC | Henrietta, NY | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.