Alaska Center for Dentistry, PC

Alaska Center for Dentistry, PC was paid $63K by Medicaid between Jan 2018 and Jul 2022, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.

33Billing provider infoALASKA CENTER FOR DENTISTRY, PC
WASILLA, AK 99654

33aNPI1770809519assigned 04/19/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$63K

24GClaims1,195

24DCodes billed9

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other General Practice Dentistry providers in Alaska

Rank by total paid#41 of 80

Median peer was paid$63K

This provider vs. median1.0×

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	526	$33K
2019	245	$11K
2020	134	$6K
2021	170	$8K
2022	120	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	39%	589	537	$25K
D0274	Bitewings - four radiographic images	25%	305	276	$16K
D1110	Prophylaxis - adult	16%	127	117	$10K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	13%	64	24	$8K
D1206	Topical application of fluoride varnish	2.3%	52	52	$1K
D0210	Intraoral - complete series of radiographic images	2.0%	16	14	$1K
D0140	Limited oral evaluation - problem focused	1.7%	17	16	$1K
D1120	Dental cleaning, childProphylaxis - child	1.2%	12	12	$740.40
D0220	Intraoral - periapical first radiographic image	<1%	13	12	$293.16

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 officialSAGE, CHARLES (OWNER/DENTIST)