WHITE, WILLIAM
NPI: 1962445247
· LA SALLE, IL 61301
· General Practice Dentistry
· NPI assigned 06/14/2006
$106K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
197 |
$6K |
| 2019 |
754 |
$16K |
| 2020 |
766 |
$18K |
| 2021 |
644 |
$17K |
| 2022 |
635 |
$17K |
| 2023 |
660 |
$17K |
| 2024 |
511 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,148 |
1,089 |
$46K |
| D0120 |
Periodic oral evaluation - established patient |
1,058 |
1,004 |
$29K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
492 |
466 |
$11K |
| D1206 |
Topical application of fluoride varnish |
342 |
311 |
$9K |
| D0272 |
Bitewings - two radiographic images |
397 |
376 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
204 |
189 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
487 |
450 |
$3K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$574.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
24 |
$148.20 |