Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Louisville › NPI 1063808608
Dental

Kids Dentistree - Westport Village

Kids Dentistree - Westport Village was paid $4.19M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoKIDS DENTISTREE - WESTPORT VILLAGE
LOUISVILLE, KY 40222
33aNPI1063808608assigned 04/10/2015
33bProvider typePediatric Dentist
28Total paid$4.19M
24GClaims122,585
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Kentucky

Rank by total paid#12 of 134
Median peer was paid$467K
This provider vs. median9.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JAMES, STEVE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201810,776$300K
201911,877$324K
202014,515$411K
202123,679$717K
202223,163$791K
202319,345$825K
2024incomplete19,230$825K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 29% 20,496 20,294 $1.20M
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 17,339 17,171 $452K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.8% 5,236 2,870 $369K
D1206 Topical application of fluoride varnish 7.9% 17,194 17,033 $332K
D2930 Prefabricated stainless steel crown - primary tooth 5.7% 1,936 724 $237K
D0150 Comprehensive oral evaluation - new or established patient 4.7% 6,462 6,374 $198K
D0330 Panoramic radiographic image 4.5% 3,690 3,647 $188K
D1110 Prophylaxis - adult 3.9% 3,024 2,970 $165K
D0272 Bitewings - two radiographic images 3.5% 6,944 6,872 $148K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.5% 3,624 3,336 $145K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.1% 2,354 1,463 $129K
D7140 Extraction, erupted tooth or exposed root 2.6% 1,717 1,006 $111K
11 more codes
D1351 Sealant - per tooth 2.3% 4,696 $97K
D0230 Intraoral - periapical each additional radiographic image 2.2% 11,185 $93K
D1208 Topical application of fluoride, excluding varnish 2.0% 5,520 $84K
D0220 Intraoral - periapical first radiographic image 1.9% 6,920 $80K
D0274 Bitewings - four radiographic images 1.9% 2,426 $80K
D0140 Limited oral evaluation - problem focused 1.1% 1,285 $47K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 339 $27K
D9420 <1% 140 $10K
D1510 <1% 18 $4K
D2330 <1% 23 $2K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 17 $2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialJAMES, STEVE (CFO)
Same official

Other billing entities under JAMES, STEVE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.