MORTENSON FAMILY DENTAL CENTER-JEFFERSONTOWN, PLLC

NPI: 1023274107 · LOUISVILLE, KY 40299 · Dental Clinic/Center · NPI assigned 07/29/2008

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JAMES, STEVE controls 20+ related entities in our dataset. Read more

$137K

Total Medicaid Paid

2,185

Total Claims

1,709

Beneficiaries

Codes Billed

2023-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	JAMES, STEVE (COO)
NPI Enumeration Date	07/29/2008

Other providers sharing the same authorized official: JAMES, STEVE

Provider	City	State	Total Paid
KIDS DENTISTRY-JEFFERSON MALL,PLLC	LOUISVILLE	KY	$9.77M
KIDS DENTISTRY-JEFFERSONVILLE, LLC	JEFFERSONVILLE	IN	$6.37M
KIDS DENTISTRY-NEW ALBANY	NEW ALBANY	IN	$4.61M
KIDS DENTISTREE - WESTPORT VILLAGE	LOUISVILLE	KY	$4.19M
MORTENSON FAMILY DENTAL CENTER-VALLEY STATION	LOUISVILLE	KY	$3.06M
ORAL SURGERY GROUP OF SOUTHERN INDIANA, LLC	NEW ALBANY	IN	$1.99M
SUMMIT DENTAL HEALTH - E STREET LLC	OMAHA	NE	$1.99M
SUMMIT DENTAL HEALTH - BRENTWOOD LLC	LA VISTA	NE	$1.79M
MORTENSON FAMILY DENTAL CENTER-FOREST GREEN, PLLC	LOUISVILLE	KY	$1.77M
SUMMIT DENTAL HEALTH - DUNDEE LLC	OMAHA	NE	$1.71M
SUMMIT DENTAL HEALTH - TOWNE LLC	BELLEVUE	NE	$1.60M
SUMMIT DENTAL HEALTH - CENTER LLC	OMAHA	NE	$1.28M
SUMMIT DENTAL HEALTH - OAKVIEW, LLC	OMAHA	NE	$1.21M
MORTENSON FAMILY DENTAL CENTER	LOUISVILLE	KY	$1.10M
MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC	VERSAILLES	KY	$793K
MORTENSON FAMILY DENTAL CENTER	CRESTWOOD	KY	$631K
MORTENSONFAMILYDENTALCENTER-BUECHEL, PLLC	LOUISVILLE	KY	$554K
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC	ELIZABETHTOWN	KY	$546K
SUMMIT DENTAL HEALTH - OLD MARKET LLC	OMAHA	NE	$543K
CHILDREN'S DENTAL CENTER OF BIG SPRING, PLLC	BIG SPRING	TX	$481K

Year	Claims	Total Paid
2023	503	$26K
2024	1,682	$111K

Code	Description	Claims	Beneficiaries	Total Paid
D4341		264	74	$36K
D0210	Intraoral - complete series of radiographic images	517	396	$34K
D0150	Comprehensive oral evaluation - new or established patient	417	410	$18K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	154	85	$15K
D1110	Prophylaxis - adult	239	234	$14K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	78	43	$9K
D0120	Periodic oral evaluation - established patient	121	121	$4K
D0220	Intraoral - periapical first radiographic image	117	116	$2K
D0140	Limited oral evaluation - problem focused	29	29	$2K
D0274	Bitewings - four radiographic images	28	28	$1K
D0431		137	135	$1K
D0230	Intraoral - periapical each additional radiographic image	84	38	$965.00