Dental
Southcentral Foundation
Southcentral Foundation was paid $153K by Medicaid between May 2018 and Sep 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 65% of everything it billed.
33Billing provider infoSOUTHCENTRAL FOUNDATION
NONDALTON, AK 99640
NONDALTON, AK 99640
33aNPI1013464916assigned 09/08/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$153K
24GClaims547
24DCodes billed4
24AFirst – last monthMay 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Alaska
Rank by total paid#32 of 80
Median peer was paid$63K
This provider vs. median2.4×
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 | 132 | $35K | |
| 2019 | 106 | $38K | |
| 2020 | 12 | $0.00 | |
| 2021 | 35 | $12K | |
| 2022 | 74 | $12K | |
| 2023 | 100 | $26K | |
| 2024incomplete | 88 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 65% | 187 | 165 | $99K |
| D1206 | Topical application of fluoride varnish | 22% | 270 | 248 | $34K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 63 | 62 | $20K |
| D0603 | 0% | 27 | 27 | $0.00 |
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 officialOLSON, LEE (EXECUTIVE VICE PRESIDENT FINANCE)
Parent organizationSOUTHCENTRAL FOUNDATION
| Provider | Location | Paid |
|---|---|---|
| Southcentral Foundation | Anchorage, AK | $12.08M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.