ALASKA CENTER FOR DENTISTRY, PC
NPI: 1770809519
· WASILLA, AK 99654
· General Practice Dentistry
· NPI assigned 04/19/2010
Provider Details
| Authorized Official | SAGE, CHARLES (OWNER/DENTIST) |
| NPI Enumeration Date | 04/19/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
526 |
$33K |
| 2019 |
245 |
$11K |
| 2020 |
134 |
$6K |
| 2021 |
170 |
$8K |
| 2022 |
120 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
589 |
537 |
$25K |
| D0274 |
Bitewings - four radiographic images |
305 |
276 |
$16K |
| D1110 |
Prophylaxis - adult |
127 |
117 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
64 |
24 |
$8K |
| D1206 |
Topical application of fluoride varnish |
52 |
52 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
16 |
14 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
17 |
16 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$740.40 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$293.16 |