Dental
White Dental, PLLC
White Dental, PLLC was paid $3K by Medicaid between Feb 2018 and Jul 2021, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoWHITE DENTAL, PLLC
TREMONTON, UT 84337
TREMONTON, UT 84337
33aNPI1568751683assigned 03/29/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims68
24DCodes billed3
24AFirst – last monthFeb 2018 – Jul 2021
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#163 of 225
Median peer was paid$21K
This provider vs. median0.2×
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 | 28 | $2K | |
| 2021 | 40 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 43 | 40 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 13 | 13 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 12 | 12 | $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, RUSSELL (PARTNER)