Dental
White Bear Lake Orthodontics
White Bear Lake Orthodontics was paid $844K by Medicaid between Feb 2022 and Dec 2024, across 8 billing codes. Its largest line is D8080, Comprehensive orthodontic treatment of the adolescent dentition — 51% of everything it billed.
33Billing provider infoWHITE BEAR LAKE ORTHODONTICS
WHITE BEAR LAKE, MN 55110
WHITE BEAR LAKE, MN 55110
33aNPI1730782467assigned 11/17/2020
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$844K
24GClaims4,601
24DCodes billed8
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Minnesota
Rank by total paid#25 of 69
Median peer was paid$252K
This provider vs. median3.3×
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 | 763 | $152K | |
| 2023 | 2,197 | $409K | |
| 2024incomplete | 1,641 | $283K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 51% | 1,820 | 1,812 | $434K |
| D8670 | Periodic orthodontic treatment visit | 33% | 1,529 | 1,461 | $280K |
| D8020 | 6.4% | 198 | 197 | $54K | |
| D0330 | Panoramic radiographic image | 2.6% | 342 | 334 | $22K |
| D0350 | 2.6% | 288 | 283 | $22K | |
| D0340 | 2.3% | 203 | 201 | $19K | |
| D0470 | 1.1% | 142 | 140 | $9K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 79 | 78 | $4K |
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 officialSMITH, TAMARA (OWNER/ORTHODONTIST)
| Provider | Location | Paid |
|---|---|---|
| Atlanta Neuroscience Institute, INC. | Atlanta, GA | $116K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.