Dental
Fairbanks Family Dental Care INC
Fairbanks Family Dental Care INC was paid $220K by Medicaid between Jan 2018 and Dec 2019, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoFAIRBANKS FAMILY DENTAL CARE INC
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
33aNPI1225373947assigned 12/06/2012
33bProvider typeDentist
28Total paid$220K
24GClaims4,771
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Dentist providers in Alaska
Rank by total paid#21 of 75
Median peer was paid$67K
This provider vs. median3.3×
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 | 2,719 | $128K | |
| 2019 | 2,052 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 385 | 153 | $51K |
| D1110 | Prophylaxis - adult | 18% | 591 | 487 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 498 | 411 | $25K |
| D0274 | Bitewings - four radiographic images | 8.1% | 400 | 315 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 7.6% | 871 | 726 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 421 | 367 | $16K |
| D0140 | Limited oral evaluation - problem focused | 6.2% | 240 | 202 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 465 | 416 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 570 | 444 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 190 | 162 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 45 | 24 | $6K |
| D0330 | Panoramic radiographic image | 1.1% | 33 | 26 | $2K |
2 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 officialCHRISTENSEN, TODD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Grand Itasca Clinic and Hospital | Grand Rapids, MN | $25.15M |
| Range Regional Health Services | Hibbing, MN | $23.67M |
| Sun Mountain Dental Care LLC | Wasilla, AK | $1.08M |
| Advanced Family Dental Care | Anchorage, AK | $609K |
| Sonora Anesthesia Services a Medical Group INC | Sonora, CA | $712.80 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.