Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

South Anchorage Family Dentistry LLC

South Anchorage Family Dentistry LLC was paid $56K by Medicaid between Sep 2019 and Oct 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 53% of everything it billed.

33Billing provider infoSOUTH ANCHORAGE FAMILY DENTISTRY LLC
ANCHORAGE, AK 99503
33aNPI1609246446assigned 10/06/2015
33bProvider typeDentist
28Total paid$56K
24GClaims1,122
24DCodes billed10
24AFirst – last monthSep 2019 – Oct 2024
Compared with peers

Next to other Dentist providers in Alaska

Rank by total paid#39 of 75
Median peer was paid$67K
This provider vs. median0.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PU, MARY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2019144$6K
202092$5K
2021155$8K
2022251$12K
2023302$17K
2024incomplete178$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 53% 412 371 $30K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 186 156 $6K
D1206 Topical application of fluoride varnish 6.8% 162 144 $4K
D0274 Bitewings - four radiographic images 6.4% 79 66 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.8% 56 14 $3K
D0150 Comprehensive oral evaluation - new or established patient 3.9% 41 38 $2K
D0210 Intraoral - complete series of radiographic images 3.5% 25 24 $2K
D0220 Intraoral - periapical first radiographic image 3.3% 76 71 $2K
D0140 Limited oral evaluation - problem focused 3.2% 28 27 $2K
D1208 Topical application of fluoride, excluding varnish 2.5% 57 50 $1K

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 officialPU, MARY (VP OF FINANCE)
Same official

Other billing entities under PU, MARY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.