Keguta Dental LLC

Keguta Dental LLC was paid $48K by Medicaid between Jan 2018 and Jan 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 60% of everything it billed.

33Billing provider infoKEGUTA DENTAL LLC
BETHEL, AK 99559

33aNPI1578999306assigned 09/25/2013

33bProvider typeDental Clinic/Center

28Total paid$48K

24GClaims747

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Dental Clinic/Center providers in Alaska

Rank by total paid#27 of 40

Median peer was paid$94K

This provider vs. median0.5×

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	91	$5K
2019	58	$4K
2020	87	$6K
2021	231	$15K
2022	239	$16K
2023	41	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	60%	353	329	$29K
D0274	Bitewings - four radiographic images	12%	106	100	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.6%	97	95	$5K
D0140	Limited oral evaluation - problem focused	9.0%	71	68	$4K
D0150	Comprehensive oral evaluation - new or established patient	4.9%	46	36	$2K
D0220	Intraoral - periapical first radiographic image	2.6%	58	52	$1K
D1120	Dental cleaning, childProphylaxis - child	2.0%	16	15	$974.25

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 officialALLGAIR, EDWIN (DENTAL DIRECTOR/MANAGER)