Medicaid Provider Spending

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

KIDS DENTISTREE - WESTPORT VILLAGE

NPI: 1063808608 · LOUISVILLE, KY 40222 · Pediatric Dentist · NPI assigned 04/10/2015

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

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

$4.19M
Total Medicaid Paid
122,585
Total Claims
105,090
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date04/10/2015

Related Entities

Other providers sharing the same authorized official: JAMES, STEVE

ProviderCityStateTotal 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
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
MORTENSON FAMILY DENTAL CENTER-SHELBYVILLE EAST SHELBYVILLE KY $443K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,776 $300K
2019 11,877 $324K
2020 14,515 $411K
2021 23,679 $717K
2022 23,163 $791K
2023 19,345 $825K
2024 19,230 $825K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 20,496 20,294 $1.20M
D0120 Periodic oral evaluation - established patient 17,339 17,171 $452K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5,236 2,870 $369K
D1206 Topical application of fluoride varnish 17,194 17,033 $332K
D2930 Prefabricated stainless steel crown - primary tooth 1,936 724 $237K
D0150 Comprehensive oral evaluation - new or established patient 6,462 6,374 $198K
D0330 Panoramic radiographic image 3,690 3,647 $188K
D1110 Prophylaxis - adult 3,024 2,970 $165K
D0272 Bitewings - two radiographic images 6,944 6,872 $148K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3,624 3,336 $145K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,354 1,463 $129K
D7140 Extraction, erupted tooth or exposed root 1,717 1,006 $111K
D1351 Sealant - per tooth 4,696 1,267 $97K
D0230 Intraoral - periapical each additional radiographic image 11,185 3,935 $93K
D1208 Topical application of fluoride, excluding varnish 5,520 5,430 $84K
D0220 Intraoral - periapical first radiographic image 6,920 6,661 $80K
D0274 Bitewings - four radiographic images 2,426 2,390 $80K
D0140 Limited oral evaluation - problem focused 1,285 1,249 $47K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 339 222 $27K
D9420 140 140 $10K
D1510 18 12 $4K
D2330 23 12 $2K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 17 12 $2K