Clinic
Interior Community Health Center Dental Prog
Interior Community Health Center Dental Prog was paid $816K by Medicaid between Jan 2018 and Mar 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoINTERIOR COMMUNITY HEALTH CENTER DENTAL PROG
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
33aNPI1124244181assigned 04/18/2007
33bProvider typeDental Clinic/Center
28Total paid$816K
24GClaims7,130
24DCodes billed15
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Dental Clinic/Center providers in Alaska
Rank by total paid#9 of 40
Median peer was paid$94K
This provider vs. median8.7×
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 | 2,925 | $320K | |
| 2019 | 1,504 | $190K | |
| 2020 | 1,172 | $136K | |
| 2021 | 1,131 | $114K | |
| 2022 | 58 | $10K | |
| 2023 | 233 | $32K | |
| 2024incomplete | 107 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 1,279 | 1,183 | $228K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,509 | 1,451 | $148K |
| D0140 | Limited oral evaluation - problem focused | 9.7% | 416 | 411 | $79K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.9% | 472 | 455 | $73K |
| D4910 | 8.6% | 277 | 273 | $70K | |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 488 | 476 | $47K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 339 | 330 | $43K |
| D0274 | Bitewings - four radiographic images | 3.8% | 628 | 601 | $31K |
| D1206 | Topical application of fluoride varnish | 2.7% | 571 | 559 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 127 | 86 | $22K |
| D0330 | Panoramic radiographic image | 2.3% | 153 | 149 | $19K |
| D1351 | Sealant - per tooth | 1.9% | 290 | 80 | $15K |
3 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 officialKILGORE, CHERYL (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Interior Community Health Center | Fairbanks, AK | $3.03M |
| Interior Community Health Center | Fairbanks, AK | $2.44M |
| Interior Community Health Center | Healy, AK | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.