Fairbanks Orthodontic Group, a Professional Corporation

Fairbanks Orthodontic Group, a Professional Corporation was paid $264K by Medicaid between May 2018 and Apr 2024, across 7 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 95% of everything it billed.

33Billing provider infoFAIRBANKS ORTHODONTIC GROUP, A PROFESSIONAL CORPORATION
FAIRBANKS, AK 99701

33aNPI1376982918assigned 06/17/2013

33bProvider typeDental Clinic/Center

28Total paid$264K

24GClaims487

24DCodes billed7

24AFirst – last monthMay 2018 – Apr 2024

Compared with peers

Next to other Dental Clinic/Center providers in Alaska

Rank by total paid#15 of 40

Median peer was paid$94K

This provider vs. median2.8×

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	36	$21K
2019	139	$66K
2020	58	$2K
2021	51	$61K
2022	82	$57K
2023	81	$40K
2024incomplete	40	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8670	Periodic orthodontic treatment visit	95%	271	220	$251K
D0330	Panoramic radiographic image	2.6%	73	72	$7K
D0150	Comprehensive oral evaluation - new or established patient	<1%	42	40	$2K
D0340		<1%	27	25	$2K
D0470		<1%	30	28	$1K
D0140	Limited oral evaluation - problem focused	<1%	14	14	$846.95
D0350		0%	30	28	$0.00

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 officialWOLLER, JESSICA (ORTHODONTIST)