Dental
Kids Dental Tree LLC
Kids Dental Tree LLC was paid $1.55M by Medicaid between Jan 2018 and Nov 2020, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 27% of everything it billed.
33Billing provider infoKIDS DENTAL TREE LLC
ANCHORAGE, AK 99515
ANCHORAGE, AK 99515
33aNPI1932421849assigned 02/18/2010
33bProvider typePediatric Dentist
28Total paid$1.55M
24GClaims26,334
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatric Dentist providers in Alaska
Rank by total paid#10 of 24
Median peer was paid$1.10M
This provider vs. median1.4×
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 | 10,875 | $700K | |
| 2019 | 10,047 | $576K | |
| 2020 | 5,412 | $273K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 27% | 2,325 | 346 | $419K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 4,652 | 4,350 | $267K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 3,741 | 3,498 | $161K |
| D7140 | Extraction, erupted tooth or exposed root | 9.5% | 1,218 | 320 | $147K |
| D1351 | Sealant - per tooth | 8.6% | 3,107 | 794 | $133K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 4,479 | 4,177 | $117K |
| D0272 | Bitewings - two radiographic images | 4.4% | 1,914 | 1,783 | $69K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 1,204 | 1,079 | $62K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 706 | 660 | $42K |
| D0240 | 1.7% | 946 | 470 | $27K | |
| D9420 | 1.5% | 297 | 252 | $24K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 134 | 67 | $16K |
9 more codes
| D0330 | Panoramic radiographic image | <1% | 156 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 66 | $11K |
| D1206 | Topical application of fluoride varnish | <1% | 386 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 471 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 409 | $9K |
| D2330 | <1% | 52 | $6K | |
| D2331 | <1% | 24 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 21 | $904.05 |
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 officialKELLER, MARK (PRESIDENT)