Dental
Aesthetic Family Dentistry
Aesthetic Family Dentistry was paid $574K by Medicaid between Jan 2018 and Nov 2022, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoAESTHETIC FAMILY DENTISTRY
WASILLA, AK 99654
WASILLA, AK 99654
33aNPI1265673008assigned 03/06/2009
33bProvider typeDentist
28Total paid$574K
24GClaims6,476
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Dentist providers in Alaska
Rank by total paid#13 of 75
Median peer was paid$67K
This provider vs. median8.6×
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 | 577 | $38K | |
| 2019 | 1,371 | $122K | |
| 2020 | 1,372 | $91K | |
| 2021 | 2,170 | $223K | |
| 2022 | 986 | $99K |
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 | 21% | 803 | 419 | $121K |
| D2740 | Crown - porcelain/ceramic | 18% | 169 | 144 | $105K |
| D0140 | Limited oral evaluation - problem focused | 13% | 1,230 | 1,166 | $73K |
| D1110 | Prophylaxis - adult | 11% | 816 | 729 | $61K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.7% | 445 | 233 | $55K |
| D2950 | 7.0% | 252 | 199 | $40K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 545 | 503 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 377 | 339 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 901 | 854 | $20K |
| D0274 | Bitewings - four radiographic images | 2.1% | 238 | 217 | $12K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.7% | 42 | 24 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.5% | 142 | 137 | $8K |
7 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 99 | $7K |
| D0330 | Panoramic radiographic image | <1% | 66 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 179 | $4K |
| D0270 | <1% | 131 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $3K |
| D4910 | <1% | 13 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14 | $381.06 |
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 officialMETHVEN, SCOTT (OWNER)