SOUTHCENTRAL FOUNDATION
NPI: 1316527575
· ANCHORAGE, AK 99508
· Prosthodontist
· NPI assigned 04/12/2021
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official OLSON, RONALD controls 20+ related entities in our dataset. Read more
$345K
Total Medicaid Paid
Provider Details
| Authorized Official | OLSON, RONALD (EXECUTIVE VICE PRESIDENT FINANCE) |
| Parent Organization | SOUTHCENTRAL FOUNDATION |
| NPI Enumeration Date | 04/12/2021 |
Related Entities
Other providers sharing the same authorized official: OLSON, RONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
91 |
$9K |
| 2022 |
1,292 |
$279K |
| 2023 |
250 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
314 |
279 |
$198K |
| D0220 |
Intraoral - periapical first radiographic image |
354 |
308 |
$85K |
| D0120 |
Periodic oral evaluation - established patient |
77 |
66 |
$18K |
| D1110 |
Prophylaxis - adult |
128 |
113 |
$16K |
| D0274 |
Bitewings - four radiographic images |
317 |
255 |
$14K |
| D9310 |
|
315 |
223 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
12 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
24 |
12 |
$2K |
| D0330 |
Panoramic radiographic image |
58 |
39 |
$1K |
| D1206 |
Topical application of fluoride varnish |
29 |
25 |
$370.50 |