Medicaid Provider Spending

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

KIDS DENTISTREE - SHEPHERDSVILLE, PLLC

NPI: 1023496676 · SHEPHERDSVILLE, KY 40165 · Pediatric Dentist · NPI assigned 05/15/2015

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

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

$4.40M
Total Medicaid Paid
120,538
Total Claims
95,715
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEPHEN (CFO)
NPI Enumeration Date05/15/2015

Related Entities

Other providers sharing the same authorized official: JAMES, STEPHEN

ProviderCityStateTotal Paid
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 - DIXIE AT ROCKFORD LANE, PLLC LOUISVILLE KY $1.66M
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 16,148 $490K
2019 16,705 $497K
2020 13,021 $382K
2021 14,875 $456K
2022 19,250 $707K
2023 21,433 $971K
2024 19,106 $899K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 18,356 17,903 $1.05M
D2930 Prefabricated stainless steel crown - primary tooth 5,341 1,571 $618K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5,622 2,662 $405K
D0120 Periodic oral evaluation - established patient 15,057 14,641 $373K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,624 1,914 $204K
D1206 Topical application of fluoride varnish 9,785 9,538 $201K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2,913 1,279 $194K
D0330 Panoramic radiographic image 3,486 3,396 $181K
D0272 Bitewings - two radiographic images 8,836 8,510 $168K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3,758 3,452 $143K
D0150 Comprehensive oral evaluation - new or established patient 4,621 4,481 $137K
D1208 Topical application of fluoride, excluding varnish 8,913 8,679 $133K
D7140 Extraction, erupted tooth or exposed root 1,968 987 $117K
D0230 Intraoral - periapical each additional radiographic image 12,445 4,737 $103K
D0220 Intraoral - periapical first radiographic image 7,506 6,967 $84K
D1351 Sealant - per tooth 3,737 1,225 $77K
D9420 1,157 1,066 $65K
D0140 Limited oral evaluation - problem focused 913 856 $37K
D2332 394 209 $36K
D2390 384 144 $29K
D0274 Bitewings - four radiographic images 742 689 $17K
D2330 220 132 $13K
D1110 Prophylaxis - adult 170 153 $6K
D1510 20 13 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 28 14 $2K
D0145 Oral evaluation for a patient under three years of age 45 44 $909.88
D9986 332 292 $82.80
D9310 165 161 $0.00