MORTENSON FAMILY DENTAL CENTER-ELIZABETHTOWN,PLLC
NPI: 1033374228
· ELIZABETHTOWN, KY 42701
· 261QD0000X
$350K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,381 |
$38K |
| 2019 |
1,349 |
$38K |
| 2020 |
810 |
$22K |
| 2021 |
770 |
$22K |
| 2022 |
2,418 |
$76K |
| 2023 |
2,477 |
$91K |
| 2024 |
1,598 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
1,859 |
1,818 |
$98K |
| D1110 |
|
953 |
933 |
$50K |
| D0150 |
|
1,665 |
1,616 |
$46K |
| D0120 |
|
1,558 |
1,528 |
$40K |
| D0274 |
|
969 |
935 |
$29K |
| D1208 |
|
1,708 |
1,659 |
$26K |
| D1206 |
|
1,083 |
1,065 |
$22K |
| D0330 |
|
267 |
258 |
$13K |
| D2392 |
|
154 |
85 |
$11K |
| D0140 |
|
154 |
145 |
$7K |
| D0220 |
|
371 |
353 |
$4K |
| D0210 |
|
45 |
43 |
$4K |
| D2391 |
|
17 |
12 |
$1K |