NPI: 1225618481 · ANCHORAGE, AK 99508 · Pediatric Dentist · NPI assigned 04/12/2021
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 | 04/12/2021 |
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 | 2,472 | $537K |
| 2022 | 3,255 | $615K |
| 2023 | 13,407 | $3.18M |
| 2024 | 16,732 | $4.87M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 5,220 | 4,665 | $3.23M |
| D0120 | Periodic oral evaluation - established patient | 3,300 | 3,161 | $1.93M |
| D0220 | Intraoral - periapical first radiographic image | 5,361 | 4,868 | $1.26M |
| D1120 | Prophylaxis - child | 4,166 | 3,968 | $755K |
| D1206 | Topical application of fluoride varnish | 6,361 | 5,996 | $489K |
| D0150 | Comprehensive oral evaluation - new or established patient | 915 | 856 | $346K |
| D1351 | Sealant - per tooth | 1,937 | 479 | $327K |
| D9310 | 668 | 477 | $236K | |
| D0274 | Bitewings - four radiographic images | 1,935 | 1,764 | $138K |
| D0272 | Bitewings - two radiographic images | 2,275 | 2,179 | $118K |
| D0145 | Oral evaluation for a patient under three years of age | 232 | 231 | $113K |
| D1110 | Prophylaxis - adult | 1,066 | 975 | $78K |
| D0330 | Panoramic radiographic image | 1,030 | 971 | $55K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 154 | 118 | $42K |
| D7140 | Extraction, erupted tooth or exposed root | 483 | 336 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 100 | 64 | $19K |
| D8670 | Periodic orthodontic treatment visit | 16 | 13 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 534 | 465 | $12K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 44 | 26 | $10K |
| D0240 | 13 | 13 | $1K | |
| D0603 | 56 | 56 | $0.00 |