Medicaid Provider Spending

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

SOUTHCENTRAL FOUNDATION

NPI: 1467124560 · ANCHORAGE, AK 99508 · Dentist · NPI assigned 09/28/2021

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

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

$343K
Total Medicaid Paid
1,929
Total Claims
1,779
Beneficiaries
10
Codes Billed
2022-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOLSON, RONALD (EXECUTIVE VICE PRESIDENT FINANCE)
Parent OrganizationSOUTHCENTRAL FOUNDATION
NPI Enumeration Date09/28/2021

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
2022 248 $42K
2023 638 $146K
2024 1,043 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 183 165 $131K
D0220 Intraoral - periapical first radiographic image 238 216 $66K
D0274 Bitewings - four radiographic images 528 489 $44K
D1110 Prophylaxis - adult 368 364 $31K
D0150 Comprehensive oral evaluation - new or established patient 84 63 $20K
D0120 Periodic oral evaluation - established patient 66 66 $16K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 82 64 $15K
D1206 Topical application of fluoride varnish 263 261 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 52 38 $7K
D0330 Panoramic radiographic image 65 53 $4K