Dental
White, Nicholas
White, Nicholas was paid $2K by Medicaid between Oct 2018 and Jun 2019, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoWHITE, NICHOLAS
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
33aNPI1730527524assigned 06/13/2013
33bProvider typeDentist
28Total paid$2K
24GClaims1,482
24DCodes billed14
24AFirst – last monthOct 2018 – Jun 2019
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#252 of 284
Median peer was paid$109K
This provider vs. median0.0×
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 | 498 | $839.00 | |
| 2019 | 984 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 127 | 127 | $517.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 122 | 122 | $380.00 |
| D0210 | Intraoral - complete series of radiographic images | 12% | 78 | 77 | $304.00 |
| D1206 | Topical application of fluoride varnish | 11% | 202 | 200 | $266.00 |
| D0274 | Bitewings - four radiographic images | 9.5% | 121 | 119 | $232.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 112 | 112 | $224.00 |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 174 | 170 | $169.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 24 | 16 | $142.00 |
| D4910 | 5.7% | 42 | 42 | $140.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 147 | 141 | $81.00 |
| D4921 | 0% | 236 | 88 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 58 | 30 | $0.00 |
2 more codes
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.