Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC

NPI: 1073925715 · ELIZABETHTOWN, KY 42701 · Dental Clinic/Center · NPI assigned 05/29/2014

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

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

$546K
Total Medicaid Paid
11,111
Total Claims
9,423
Beneficiaries
24
Codes Billed
2018-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date05/29/2014

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
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
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 197 $3K
2019 695 $24K
2020 735 $24K
2021 207 $9K
2022 1,165 $53K
2023 5,133 $268K
2024 2,979 $165K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 Crown - porcelain/ceramic 199 146 $118K
D1110 Prophylaxis - adult 1,349 1,315 $72K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 881 554 $70K
D0330 Panoramic radiographic image 769 749 $53K
D0150 Comprehensive oral evaluation - new or established patient 1,153 1,119 $40K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 402 274 $39K
D0120 Periodic oral evaluation - established patient 989 963 $29K
D0274 Bitewings - four radiographic images 726 700 $21K
D0210 Intraoral - complete series of radiographic images 502 405 $20K
D0140 Limited oral evaluation - problem focused 376 364 $17K
D0220 Intraoral - periapical first radiographic image 1,380 1,272 $14K
D2950 111 85 $13K
D2394 89 66 $8K
D1120 Prophylaxis - child 109 109 $7K
D0230 Intraoral - periapical each additional radiographic image 1,264 619 $7K
D1206 Topical application of fluoride varnish 256 255 $5K
D2332 33 25 $4K
D1351 Sealant - per tooth 133 30 $3K
D4910 28 28 $3K
D0431 250 248 $2K
D2335 19 13 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 17 12 $814.40
D1208 Topical application of fluoride, excluding varnish 47 47 $661.80
D9987 29 25 $84.00