Medicaid Provider Spending

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

SOUTHCENTRAL FOUNDATION

NPI: 1750961918 · ILIAMNA, AK 99606 · General Practice Dentistry · NPI assigned 04/12/2021

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

Authorized official OLSON, RONALD controls 20+ related entities in our dataset. Read more

$35K
Total Medicaid Paid
321
Total Claims
217
Beneficiaries
4
Codes Billed
2021-07
First Month
2023-11
Last Month

Provider Details

Authorized OfficialOLSON, RONALD (EXECUTIVE VICE PRESIDENT FINANCE)
Parent OrganizationSOUTHCENTRAL FOUNDATION
NPI Enumeration Date04/12/2021

Related Entities

Other providers sharing the same authorized official: OLSON, RONALD

ProviderCityStateTotal Paid
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $130.28M
SOUTHCENTRAL FOUNDATION WASILLA AK $30.71M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $20.33M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $17.03M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $15.03M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $13.37M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $13.34M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $12.47M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $11.16M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $10.97M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $10.22M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $6.73M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $6.47M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $6.14M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $5.83M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $5.74M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $5.59M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $5.34M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $5.10M
SOUTHCENTRAL FOUNDATION ANCHORAGE AK $4.62M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $2K
2022 197 $22K
2023 112 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 118 77 $28K
D1206 Topical application of fluoride varnish 117 80 $6K
D0274 Bitewings - four radiographic images 71 48 $542.43
D1120 Prophylaxis - child 15 12 $0.00