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 & MedicaidSouth Anchorage Dental Center
    Ask Trek AI about this page

    South Anchorage Dental Center — Billing Profile & Reimbursement Data

    NPI 1841580966 · Anchorage, AK · Preferred Provider Organization

    Customize your policy alerts

    Sign up for South Anchorage Dental Center — 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.

    South Anchorage Dental Center is a preferred provider organization provider located in Anchorage, Alaska. This profile covers 0 Medicare and 20 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 / 7

    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
    OrganizationSouth Anchorage Dental Center
    Address9170 Jewel Lake Rd Ste 201
    CityAnchorage
    StateAK
    ZIP99502
    TaxonomyPreferred Provider Organization
    NPI EnumeratedApril 11, 2011

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

    Payer SourceTotal Paid
    Medicaid$2.3M
    Medicare$0

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2740N/A730$620$451.8K
    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…1,660$220$359.2K
    D2393Resin-based composite, three surfaces, posterior1,110$200$217K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2,560$70$189.2K
    D0274N/A3,440$50$182.4K
    D2950N/A980$160$156K
    D0330N/A1,690$90$143.7K
    D1351Sealant - per tooth2,600$40$114.4K
    D0150Comprehensive oral evaluation – new or established patient1,970$60$112.3K
    D0140Limited oral evaluation – problem focused1,490$60$86.5K

    Showing 1–10 of 20

    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

    20 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…530330$210$245K
    D0140Limited oral evaluation – problem focused21150290$220$215.6K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients56160510$100$212.9K
    D1351Sealant - per tooth27701,370$50$191.4K
    D0220Intraoral - periapical first radiographic image30160300$130$181K
    D0120Periodic oral evaluation - established patient37190390$100$141.4K
    D2392Post 2 surface resin‑based composite36110220$150$126.5K
    D2740N/A230110$520$117.3K
    D1120Prophylaxis–child45140230$70$106.8K
    D2393Resin-based composite, three surfaces, posterior440100$180$104.5K

    Showing 1–10 of 20

    Nearby Providers

    Other providers in the same ZIP code as South Anchorage Dental Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lifemed Alaska, LLCAKAmbulance$7.5M$78.5M
    Nadon Family HomeAKFoster Care Agency$0$19.7M
    Guardian Flight LLCAKAir Ambulance$1.9M$13.5M
    Better Sight LLCAKOptometrist$0$1.2M
    Smart CareAKCase Management Agency$0$1.1M
    Pete B. Higgins Dds LLCAKDental Clinic/Center$0$993K
    Independent Care Coordination, LLCAKCase Management Agency$0$686.1K
    Guardian Flight LLCAKLand Ambulance$167.8K$421.7K
    Medevac Alaska LLCAKLand Ambulance$178.7K$381.3K
    National Seating & Mobility, Inc.AKDurable Medical Equipment & Medical Supplies$0$425.4K

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alaska Distribution
    South Anchorage Dental Center — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska