Managed care
South Anchorage Dental Center
South Anchorage Dental Center was paid $2.33M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 19% of everything it billed.
33Billing provider infoSOUTH ANCHORAGE DENTAL CENTER
ANCHORAGE, AK 99502
ANCHORAGE, AK 99502
33aNPI1841580966assigned 04/11/2011
33bProvider typePreferred Provider Organization
28Total paid$2.33M
24GClaims26,264
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
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 | 3,003 | $252K | |
| 2019 | 1,751 | $154K | |
| 2020 | 3,483 | $330K | |
| 2021 | 5,706 | $623K | |
| 2022 | 4,565 | $470K | |
| 2023 | 3,873 | $256K | |
| 2024incomplete | 3,883 | $247K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 19% | 731 | 397 | $452K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 15% | 1,663 | 391 | $359K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.3% | 1,113 | 374 | $217K |
| D1110 | Prophylaxis - adult | 8.1% | 2,557 | 2,350 | $189K |
| D0274 | Bitewings - four radiographic images | 7.8% | 3,442 | 3,171 | $181K |
| D2950 | 6.7% | 981 | 493 | $156K | |
| D0330 | Panoramic radiographic image | 6.1% | 1,691 | 1,546 | $143K |
| D1351 | Sealant - per tooth | 4.9% | 2,600 | 202 | $114K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 1,970 | 1,811 | $112K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 1,491 | 1,386 | $87K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 2,088 | 1,968 | $84K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 499 | 221 | $77K |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 2,035 | $44K |
| D1120 | Dental cleaning, child | 1.4% | 578 | $33K |
| D1206 | Topical application of fluoride varnish | 1.0% | 938 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 918 | $23K |
| D9211 | <1% | 339 | $19K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 482 | $9K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 91 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 57 | $2K |
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 officialBRIMHALL, BROC (DENTIST)