Dental
Four Corners Dental Group Fairbanks
Four Corners Dental Group Fairbanks was paid $14.98M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoFOUR CORNERS DENTAL GROUP FAIRBANKS
FAIRBANKS, AK 99709
FAIRBANKS, AK 99709
33aNPI1710310073assigned 08/09/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$14.98M
24GClaims174,906
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Alaska
Rank by total paid#2 of 80
Median peer was paid$63K
This provider vs. median236×
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 | 32,844 | $3.72M | |
| 2019 | 30,777 | $2.88M | |
| 2020 | 27,167 | $2.33M | |
| 2021 | 27,202 | $2.14M | |
| 2022 | 24,239 | $1.62M | |
| 2023 | 17,357 | $1.18M | |
| 2024incomplete | 15,320 | $1.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 14% | 11,829 | 3,214 | $2.11M |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 9,793 | 2,044 | $1.90M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.6% | 10,913 | 4,077 | $1.44M |
| D2740 | Crown - porcelain/ceramic | 8.7% | 2,778 | 1,077 | $1.30M |
| D0330 | Panoramic radiographic image | 6.8% | 15,363 | 10,931 | $1.02M |
| D1351 | Sealant - per tooth | 6.6% | 22,181 | 2,146 | $983K |
| D2950 | 5.0% | 5,412 | 1,842 | $749K | |
| D0140 | Limited oral evaluation - problem focused | 3.9% | 10,534 | 8,914 | $585K |
| D1110 | Prophylaxis - adult | 3.8% | 9,961 | 6,922 | $576K |
| D0274 | Bitewings - four radiographic images | 3.7% | 14,448 | 9,618 | $547K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 12,091 | 8,143 | $511K |
| D2335 | 3.3% | 2,660 | 514 | $500K |
24 more codes
| D1120 | Dental cleaning, child | 2.7% | 6,894 | $411K |
| D0120 | Dental checkup, returning patient | 2.6% | 10,085 | $385K |
| D9243 | 1.9% | 732 | $290K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 9,555 | $255K |
| D2394 | 1.7% | 1,094 | $248K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 1,731 | $202K |
| D0272 | Bitewings - two radiographic images | 1.3% | 5,014 | $188K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,901 | $136K |
| D9248 | <1% | 621 | $97K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,004 | $95K |
| D9610 | <1% | 1,270 | $85K | |
| D9239 | <1% | 715 | $77K | |
| D5110 | <1% | 105 | $53K | |
| D2332 | <1% | 367 | $47K | |
| D5214 | <1% | 93 | $43K | |
| D3240 | <1% | 150 | $42K | |
| D5213 | <1% | 74 | $34K | |
| D4341 | <1% | 138 | $23K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 42 | $16K |
| D5120 | <1% | 34 | $16K | |
| D9420 | <1% | 231 | $12K | |
| D2330 | <1% | 37 | $4K | |
| D2331 | <1% | 39 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 17 | $456.08 |
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 officialRHOTON, SHANE (DENTIST)