SOUTHCENTRAL FOUNDATION
NPI: 1669057279
· ANCHORAGE, AK 99508
· General Practice Dentistry
· NPI assigned 03/15/2021
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official OLSON, RONALD controls 20+ related entities in our dataset. Read more
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | OLSON, RONALD (EXECUTIVE VICE PRESIDENT FINANCE) |
| Parent Organization | SOUTHCENTRAL FOUNDATION |
| NPI Enumeration Date | 03/15/2021 |
Related Entities
Other providers sharing the same authorized official: OLSON, RONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
234 |
$35K |
| 2022 |
465 |
$43K |
| 2023 |
972 |
$30K |
| 2024 |
292 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
395 |
326 |
$51K |
| D1351 |
Sealant - per tooth |
583 |
81 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
33 |
33 |
$18K |
| D1206 |
Topical application of fluoride varnish |
386 |
340 |
$9K |
| D1120 |
Prophylaxis - child |
122 |
121 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
150 |
114 |
$4K |
| D0274 |
Bitewings - four radiographic images |
109 |
77 |
$4K |
| D0272 |
Bitewings - two radiographic images |
48 |
29 |
$977.28 |
| D0230 |
Intraoral - periapical each additional radiographic image |
89 |
48 |
$952.65 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$781.80 |
| D0240 |
|
20 |
12 |
$0.00 |
| D0603 |
|
15 |
15 |
$0.00 |