Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidFour Corners Dental Group Fairbanks
    Ask Trek AI about this page

    Four Corners Dental Group Fairbanks — Billing Profile & Reimbursement Data

    NPI 1710310073 · Fairbanks, AK · General Practice Dentistry

    Customize your policy alerts

    Sign up for Four Corners Dental Group Fairbanks — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Four Corners Dental Group Fairbanks is a general practice dentistry provider located in Fairbanks, Alaska. This profile covers 0 Medicare and 36 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFour Corners Dental Group Fairbanks
    Address3487 Airport Way
    CityFairbanks
    StateAK
    ZIP99709
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedAugust 9, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$15M
    Medicare$0

    Key Findings

    FOUR CORNERS DENTAL GROUP FAIRBANKS is effectively a Medicaid-focused practice: there is no Medicare billing on file while reported Medicaid revenue totals $15M. The provider’s NPI was enumerated 2013-08-09 (~13 years ago), indicating over a decade of active enrollment in federal payer systems.

    Revenue concentration is high within a few restorative/surgical codes: the top three Medicaid codes (D2393, D7210, D2392) account for 37.0% of the provider’s total Medicaid revenue. Specifically, D2393 generated $2.1M (14.4%), D7210 generated $1.9M (12.9%), and D2392 generated $1.4M (9.8%), signaling a business model heavily weighted toward multi-surface resin restorations and surgical extractions.

    The provider is a statewide volume leader for several high-dollar services, often at extreme percentiles. D2393 ranks #1 of 35 providers in-state (100th percentile; extreme outlier), D7210 ranks #1 of 31 providers in-state (100th percentile; extreme outlier), and D2392 ranks #2 of 108 providers in-state (99th percentile; extreme outlier), which together point to dominant competitive standing in posterior composite restorations and surgical extractions in Alaska.

    Additional high-volume codes reinforce a broad scope of restorative and routine dental care. D2740 ($1.3M, 8.8%) ranks #1 of 34 providers in-state (100th percentile; extreme outlier) and D0330 (15.4K claims, $1M, 6.9%) ranks #2 of 129 providers in-state (99th percentile; extreme outlier), while preventive/prophylaxis codes such as D1351 (22.2K claims, $976K, 6.6%) also appear at very high volumes, indicating a mix of restorative, prosthetic, diagnostic, and preventive services.

    High claim counts for evaluations, prophylaxis, and fluoride services suggest substantial patient throughput and broad primary dental care delivery. Examples include D0150 (12.1K claims, $507.8K, 3.4% revenue; ranks #2 of 145, 99th percentile), D0140 (10.5K claims, $589.9K, 4.0% revenue; ranks #2 of 147, 99th percentile), D1110 (10K claims, $577.7K, 3.9% revenue; ranks #2 of 176, 99th percentile), and D1208 (9.6K claims, $258K, 1.7% revenue; ranks #2 of 75, 99th percentile). This mix indicates the practice handles large volumes of both routine and problem-focused visits.

    Multiple codes are flagged as statistical outliers versus in-state peers, which may reflect unusually high throughput or specialization in certain procedures. Several entries are labeled extreme outlier or notably above typical state volume (e.g., D2393, D7210, D2740, D0330, D1351), while others are described as typical or unremarkable for the state (e.g., D2335, D9243), underscoring that dominance is concentrated in specific restorative and surgical services rather than being uniform across all procedure types.

    From a payer and business-risk perspective, the combination of single-payer concentration (no Medicare, $15M Medicaid) and a heavy revenue share tied to a few codes (top 3 = 37.0%) indicates operational dependence on Medicaid reimbursement for restorative and extraction services. For payers and network analysts, this pattern suggests the provider is strategically important for Alaska Medicaid capacity in high-volume restorative and surgical dental care but could also be sensitive to changes in Medicaid policy, coverage, or reimbursement for those core codes.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2393Resin-based composite, three surfaces, posterior11,830$180$2.1M
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…9,790$190$1.9M
    D2392Post 2 surface resin‑based composite10,910$130$1.4M
    D2740N/A2,780$470$1.3M
    D0330N/A15,360$70$1M
    D1351Sealant - per tooth22,180$40$976K
    D2950N/A5,410$140$746.9K
    D0140Limited oral evaluation – problem focused10,530$60$589.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth9,960$60$577.7K
    D0274N/A14,450$40$549K

    Showing 1–10 of 36

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Alaska median

    36 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…130330$210$245K
    D0140Limited oral evaluation – problem focused2150290$220$215.6K
    D1351Sealant - per tooth2701,370$50$191.4K
    D0220Intraoral - periapical first radiographic image5160300$130$181K
    D2335N/A11020$190$169.1K
    D7240N/A810220$310$157.2K
    D5110N/A210170$840$145.3K
    D3240N/A410210$270$141.6K
    D0120Periodic oral evaluation - established patient4190390$100$141.4K
    D9243N/A420180$330$141.1K

    Showing 1–10 of 36

    Nearby Providers

    Other providers in the same ZIP code as Four Corners Dental Group Fairbanks, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Centered Services Of AkAKCommunity/Behavioral Health Agency$0$43.5M
    Family Centered Services Of AlaskaAKCommunity/Behavioral Health Agency$0$25.2M
    Crossroads Counseling & Training ServicesAKDevelopmentally Disabled Services Day Training Agency$0$19.1M
    Guardian Flight LLCAKAir Ambulance$677.6K$6.8M
    Extended Family Alaska LLCAKCommunity/Behavioral Health Agency$0$6.1M
    Morning Star RanchAKDevelopmentally Disabled Services Day Training Agency$0$4.1M
    Frontier Partners, LLCAKAssisted Living Facility$0$2.5M
    Fairbanks North Star BoroughAKLand Ambulance$518.2K$1.3M
    Todd Haskin Dmd LLCAKDentist$0$1.7M
    Talkabout IncAKSpeech-Language Pathologist$0$970.3K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Alaska Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alaska Distribution
    Four Corners Dental Group Fairbanks — 18 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska