WHITE DENTAL, PLLC
NPI: 1568751683
· TREMONTON, UT 84337
· General Practice Dentistry
· NPI assigned 03/29/2011
Provider Details
| Authorized Official | WHITE, RUSSELL (PARTNER) |
| NPI Enumeration Date | 03/29/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$2K |
| 2021 |
40 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
43 |
40 |
$3K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |