Mat-Su Dental Center, INC.

Mat-Su Dental Center, INC. was paid $44K by Medicaid between Jan 2018 and Apr 2018, across 6 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 53% of everything it billed.

33Billing provider infoMAT-SU DENTAL CENTER, INC.
WASILLA, AK 99654

33aNPI1417177346assigned 04/25/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$44K

24GClaims514

24DCodes billed6

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other General Practice Dentistry providers in Alaska

Rank by total paid#48 of 80

Median peer was paid$63K

This provider vs. median0.7×

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	514	$44K

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	53%	172	96	$24K
D1110	Prophylaxis - adult	27%	163	140	$12K
D0140	Limited oral evaluation - problem focused	16%	121	110	$7K
D0150	Comprehensive oral evaluation - new or established patient	1.8%	15	12	$803.76
D0274	Bitewings - four radiographic images	1.4%	12	12	$602.70
D0220	Intraoral - periapical first radiographic image	1.1%	31	24	$508.03

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 officialKENNARD, SUSANNE (CEO)