Medicaid Provider Spending

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

NORTH COAST FAMILY DENTISTRY

NPI: 1568024388 · ANCHORAGE, AK 99507 · Pediatric Dentist · NPI assigned 07/01/2019

$7K
Total Medicaid Paid
127
Total Claims
110
Beneficiaries
3
Codes Billed
2021-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSERGIE, SUSAN (DENTIST)
NPI Enumeration Date07/01/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 28 $2K
2022 15 $662.97
2023 57 $4K
2024 27 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 80 71 $6K
D0274 Bitewings - four radiographic images 29 25 $1K
D0120 Periodic oral evaluation - established patient 18 14 $390.88