Dental
White Smiles Family Dentistry PLLC
White Smiles Family Dentistry PLLC was paid $220K by Medicaid between Nov 2019 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoWHITE SMILES FAMILY DENTISTRY PLLC
MINNEAPOLIS, MN 55432
MINNEAPOLIS, MN 55432
33aNPI1831665603assigned 10/19/2018
33bProvider typeDentist
28Total paid$220K
24GClaims7,090
24DCodes billed16
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#34 of 192
Median peer was paid$9K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2019 | 30 | $562.92 | |
| 2020 | 335 | $6K | |
| 2021 | 338 | $5K | |
| 2022 | 633 | $13K | |
| 2023 | 1,815 | $42K | |
| 2024incomplete | 3,939 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 465 | 253 | $41K |
| D1110 | Prophylaxis - adult | 14% | 749 | 748 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.2% | 481 | 480 | $20K |
| D0274 | Bitewings - four radiographic images | 9.2% | 645 | 644 | $20K |
| D1206 | Topical application of fluoride varnish | 8.6% | 693 | 691 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 698 | 695 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.4% | 151 | 94 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 1,132 | 1,113 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 150 | 99 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 220 | 220 | $9K |
| D1330 | 3.7% | 356 | 353 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 983 | 809 | $7K |
4 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.
From NPPES
Who's on the registration
Authorized officialWHITE, DUSTIN (OWNER/DENTIST)
Parent organizationWHITE SMILES DENTISTRY PLLC
| Provider | Location | Paid |
|---|---|---|
| White Smiles Family Dentistry | Albertville, MN | $1.59M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.