Medicaid Provider Spending

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

SOUTH ANCHORAGE FAMILY DENTISTRY LLC

NPI: 1609246446 · ANCHORAGE, AK 99503 · Dentist · NPI assigned 10/06/2015

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

Authorized official PU, MARY controls 20+ related entities in our dataset. Read more

$56K
Total Medicaid Paid
1,122
Total Claims
961
Beneficiaries
10
Codes Billed
2019-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPU, MARY (VP OF FINANCE)
NPI Enumeration Date10/06/2015

Related Entities

Other providers sharing the same authorized official: PU, MARY

ProviderCityStateTotal Paid
RED ROCK DENTAL-FARMINGTON IRVING TX $3.59M
SAGE DENTAL BAYTOWN TX $2.35M
PEPPERMINT DENTAL-MONTGOMERY LLC ALBUQUERQUE NM $2.14M
SAGE DENTAL-DEER PARK PLLC LA PORTE TX $1.87M
VINH NGO DENTISTRY PLLC VICTORIA TX $1.65M
ELEMENT DENTAL-BRYAN PLLC BRYAN TX $1.57M
FUSION DENTAL IRVING TX $1.49M
ELEMENT DENTAL-CONROE PLLC IRVING TX $1.49M
GULFSIDE DENTAL PORT ARTHUR PLLC PORT ARTHUR TX $1.39M
PEPPERMINT DENTAL-RIO BRAVO LLC ALBUQUERQUE NM $1.29M
FRESH DENTAL-SHREVEPORT IRVING TX $1.27M
FRESH DENTAL-BOSSIER CITY IRVING TX $1.21M
PEPPERMINT DENTAL-SHERMAN PLLC SHERMAN TX $1.17M
ELEMENT DENTAL PLLC LUFKIN TX $1.06M
RIO DENTAL AND ORTHODONTICS LLC RIO RANCHO NM $1.00M
ELEMENT DENTAL-HUMBLE PLLC HUMBLE TX $942K
GULFSIDE DENTAL BEAUMONT TX $939K
LEGEND DENTAL-GEORGETOWN GEORGETOWN TX $919K
BLISS DENTAL PLLC ODESSA TX $827K
BLISS DENTAL LUBBOCK PLLC LUBBOCK TX $826K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 144 $6K
2020 92 $5K
2021 155 $8K
2022 251 $12K
2023 302 $17K
2024 178 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 412 371 $30K
D0120 Periodic oral evaluation - established patient 186 156 $6K
D1206 Topical application of fluoride varnish 162 144 $4K
D0274 Bitewings - four radiographic images 79 66 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 56 14 $3K
D0150 Comprehensive oral evaluation - new or established patient 41 38 $2K
D0210 Intraoral - complete series of radiographic images 25 24 $2K
D0220 Intraoral - periapical first radiographic image 76 71 $2K
D0140 Limited oral evaluation - problem focused 28 27 $2K
D1208 Topical application of fluoride, excluding varnish 57 50 $1K