Clinic
Lupine Dental LLC
Lupine Dental LLC was paid $374K by Medicaid between Sep 2022 and Dec 2024, across 15 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 15% of everything it billed.
33Billing provider infoLUPINE DENTAL LLC
WASILLA, AK 99654
WASILLA, AK 99654
33aNPI1518690676assigned 07/06/2022
33bProvider typeDental Clinic/Center
28Total paid$374K
24GClaims5,216
24DCodes billed15
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Alaska
Rank by total paid#13 of 40
Median peer was paid$94K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2022 | 685 | $26K | |
| 2023 | 1,778 | $124K | |
| 2024incomplete | 2,753 | $224K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 15% | 334 | 111 | $57K |
| D1110 | Prophylaxis - adult | 13% | 618 | 576 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 841 | 767 | $48K |
| D0274 | Bitewings - four radiographic images | 11% | 750 | 692 | $40K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 239 | 133 | $39K |
| D0330 | Panoramic radiographic image | 8.9% | 375 | 351 | $33K |
| D2740 | Crown - porcelain/ceramic | 6.4% | 31 | 28 | $24K |
| D0140 | Limited oral evaluation - problem focused | 6.1% | 387 | 358 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 157 | 91 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 920 | 817 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 454 | 395 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 35 | 15 | $8K |
3 more codes
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 officialGURR, KRIS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lucille Dental,llc | Wasilla, AK | $937K |
| Meridian Dental, LLC | Wasilla, AK | $581K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.