NPI: 1124603733 · WASILLA, AK 99654 · General Practice Dentistry · NPI assigned 03/15/2021
Authorized official OLSON, RONALD controls 20+ related entities in our dataset. Read more
| Authorized Official | OLSON, RONALD (EXECUTIVE VICE PRESIDENT FINANCE) |
| Parent Organization | SOUTHCENTRAL FOUNDATION |
| NPI Enumeration Date | 03/15/2021 |
Other providers sharing the same authorized official: OLSON, RONALD
| Provider | City | State | Total Paid |
|---|---|---|---|
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $130.28M |
| SOUTHCENTRAL FOUNDATION | WASILLA | AK | $30.71M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $20.33M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $17.03M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $15.03M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $13.37M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $13.34M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $12.47M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $11.16M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $10.97M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $10.22M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $6.73M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $6.47M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $6.14M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $5.83M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $5.74M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $5.59M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $5.34M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $5.10M |
| SOUTHCENTRAL FOUNDATION | ANCHORAGE | AK | $4.62M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 992 | $199K |
| 2022 | 1,436 | $179K |
| 2023 | 2,564 | $528K |
| 2024 | 2,950 | $512K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 901 | 781 | $422K |
| D0120 | Periodic oral evaluation - established patient | 943 | 829 | $293K |
| D0220 | Intraoral - periapical first radiographic image | 957 | 859 | $259K |
| D1206 | Topical application of fluoride varnish | 1,253 | 1,163 | $74K |
| D0274 | Bitewings - four radiographic images | 1,180 | 1,050 | $70K |
| D1120 | Prophylaxis - child | 471 | 466 | $61K |
| D1110 | Prophylaxis - adult | 607 | 511 | $57K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 402 | 237 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 170 | 154 | $37K |
| D1351 | Sealant - per tooth | 202 | 41 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 287 | 169 | $28K |
| D0330 | Panoramic radiographic image | 348 | 323 | $19K |
| D0145 | Oral evaluation for a patient under three years of age | 12 | 12 | $7K |
| D0272 | Bitewings - two radiographic images | 179 | 174 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 16 | 12 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 14 | 13 | $2K |