MORTENSON FAMILY DENTAL CENTER-ELIZABETHTOWN,PLLC

NPI: 1033374228 · ELIZABETHTOWN, KY 42701 · Dental Clinic/Center · NPI assigned 07/28/2008

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$350K

Total Medicaid Paid

10,803

Total Claims

10,450

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	JAMES, STEVE (COO)
NPI Enumeration Date	07/28/2008

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

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	1,859	1,818	$98K
D1110	Prophylaxis - adult	953	933	$50K
D0150	Comprehensive oral evaluation - new or established patient	1,665	1,616	$46K
D0120	Periodic oral evaluation - established patient	1,558	1,528	$40K
D0274	Bitewings - four radiographic images	969	935	$29K
D1208	Topical application of fluoride, excluding varnish	1,708	1,659	$26K
D1206	Topical application of fluoride varnish	1,083	1,065	$22K
D0330	Panoramic radiographic image	267	258	$13K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	154	85	$11K
D0140	Limited oral evaluation - problem focused	154	145	$7K
D0220	Intraoral - periapical first radiographic image	371	353	$4K
D0210	Intraoral - complete series of radiographic images	45	43	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	17	12	$1K