Clinic
White Pine Dental
White Pine Dental was paid $59K by Medicaid between Aug 2020 and Jan 2022, across 11 billing codes. Its largest line is D0330, Panoramic radiographic image — 23% of everything it billed.
33Billing provider infoWHITE PINE DENTAL
DEXTER, ME 04930
DEXTER, ME 04930
33aNPI1730797804assigned 07/15/2020
33bProvider typeDental Clinic/Center
28Total paid$59K
24GClaims2,198
24DCodes billed11
24AFirst – last monthAug 2020 – Jan 2022
Compared with peers
Next to other Dental Clinic/Center providers in Maine
Rank by total paid#17 of 33
Median peer was paid$59K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 773 | $15K | |
| 2021 | 1,411 | $45K | |
| 2022 | 14 | $220.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 23% | 407 | 326 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 404 | 350 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 81 | 27 | $7K |
| D0140 | Limited oral evaluation - problem focused | 12% | 400 | 363 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 218 | 194 | $6K |
| D1206 | Topical application of fluoride varnish | 7.0% | 408 | 350 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.9% | 44 | 27 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.3% | 35 | 12 | $4K |
| D1110 | Prophylaxis - adult | 4.9% | 110 | 94 | $3K |
| D1351 | Sealant - per tooth | 1.7% | 64 | 12 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 27 | 24 | $825.00 |
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 officialBHATT, SAPAN (OWNER DENTIST)