Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHCENTRAL FOUNDATION

NPI: 1396292298 · ILIAMNA, AK 99606 · General Practice Dentistry · NPI assigned 09/08/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official OLSON, RONALD controls 20+ related entities in our dataset. Read more

$31K
Total Medicaid Paid
166
Total Claims
160
Beneficiaries
4
Codes Billed
2018-02
First Month
2019-08
Last Month

Provider Details

Authorized OfficialOLSON, RONALD (EXECUTIVE VICE PRESIDENT FINANCE)
Parent OrganizationSOUTHCENTRAL FOUNDATION
NPI Enumeration Date09/08/2016

Related Entities

Other providers sharing the same authorized official: OLSON, RONALD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 95 $17K
2019 71 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 39 39 $23K
D1206 Topical application of fluoride varnish 91 86 $7K
D1120 Prophylaxis - child 19 19 $1K
D0603 17 16 $0.00