Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MORTENSON FAMILY DENTAL CENTER - DIXIE AT ROCKFORD LANE, PLLC

NPI: 1013309905 · LOUISVILLE, KY 40216 · Dentist · NPI assigned 03/02/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JAMES, STEPHEN controls 18+ related entities in our dataset. Read more

$1.66M
Total Medicaid Paid
52,414
Total Claims
45,855
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEPHEN (CFO)
NPI Enumeration Date03/02/2015

Related Entities

Other providers sharing the same authorized official: JAMES, STEPHEN

ProviderCityStateTotal Paid
KIDS DENTISTREE - SHEPHERDSVILLE, PLLC SHEPHERDSVILLE KY $4.40M
KIDS DENTISTREE - CORYDON LLC CORYDON IN $3.88M
ABBEVILLE DENTISTRY - BROWNWOOD PLLC BROWNWOOD TX $2.02M
ABBEVILLE DENTISTRY - ABILENE PLLC ABILENE TX $1.70M
MORTENSON FAMILY DENTAL CENTER - LAWRENCEBURG LLC LAWRENCEBURG IN $1.18M
MORTENSON FAMILY DENTAL CENTER- CARROLLTON PLLC CARROLLTON KY $654K
MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC SHELBYVILLE KY $531K
MORTENSON FAMILY DENTAL CENTER - LANDEN LLC MAINEVILLE OH $389K
ENGILMAN ORTHODONTICS - JEFFERSON LOUISVILLE KY $372K
MORTENSON FAMILY DENTAL CENTER HILLIVIEW-OKOLONA PLLC LOUISVILLE KY $353K
ENGILMAN ORTHODONTICS-JEFFERSONVILLE, LLC JEFFERSONVILLE IN $296K
KIDS DENTISTREE OF KY, LLC LOUISVILLE KY $199K
MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC CLARKSVILLE IN $177K
MORTENSON FAMILY DENTAL CENTER - JEFFERSONTOWN CENTRAL, PLLC LOUISVILLE KY $87K
ENGILMAN ORTHODONTICS PLLC LOUISVILLE KY $57K
ENGILMAN ORTHODONTICS - LAGRANGE LA GRANGE KY $55K
ENGILMAN ORTHODONTICS - SHELBYVILLE SHELBYVILLE KY $38K
STONEHAVEN DENTAL - MIDVALE, LLC MIDVALE UT $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,509 $247K
2019 7,858 $208K
2020 6,751 $184K
2021 4,188 $121K
2022 7,884 $238K
2023 6,178 $237K
2024 10,046 $428K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,285 2,290 $281K
D1110 Prophylaxis - adult 4,965 4,846 $229K
D0330 Panoramic radiographic image 4,054 3,937 $185K
D0274 Bitewings - four radiographic images 5,612 5,442 $146K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,708 1,072 $132K
D1120 Prophylaxis - child 2,255 2,220 $128K
D0150 Comprehensive oral evaluation - new or established patient 4,202 4,090 $121K
D0120 Periodic oral evaluation - established patient 4,990 4,884 $117K
D0140 Limited oral evaluation - problem focused 2,413 2,303 $84K
D1206 Topical application of fluoride varnish 2,416 2,391 $48K
D0220 Intraoral - periapical first radiographic image 6,251 5,941 $47K
D2391 Resin-based composite - one surface, posterior, primary or permanent 805 596 $46K
D1208 Topical application of fluoride, excluding varnish 1,722 1,658 $25K
D0230 Intraoral - periapical each additional radiographic image 5,430 3,419 $24K
D7140 Extraction, erupted tooth or exposed root 272 146 $10K
D4341 129 53 $10K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 117 49 $8K
D1351 Sealant - per tooth 240 45 $7K
D0272 Bitewings - two radiographic images 292 290 $6K
D2331 67 42 $4K
D2394 23 13 $1K
D0210 Intraoral - complete series of radiographic images 64 26 $1K
D0431 102 102 $970.00