ALASKA DENTAL CARE, LLC
NPI: 1033508122
· ANCHORAGE, AK 99503
· Dentist
· NPI assigned 01/13/2015
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | GARDINER, BRETT (OWNER DENTIST) |
| NPI Enumeration Date | 01/13/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
83 |
$3K |
| 2020 |
141 |
$931.92 |
| 2021 |
123 |
$5K |
| 2022 |
386 |
$18K |
| 2023 |
399 |
$26K |
| 2024 |
1,014 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
896 |
749 |
$61K |
| D0274 |
Bitewings - four radiographic images |
284 |
257 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
288 |
253 |
$11K |
| D0330 |
Panoramic radiographic image |
97 |
90 |
$9K |
| D1206 |
Topical application of fluoride varnish |
348 |
322 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
25 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
42 |
30 |
$820.96 |
| D0220 |
Intraoral - periapical first radiographic image |
36 |
29 |
$708.47 |
| D1999 |
|
126 |
83 |
$0.00 |