Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › MAINEVILLE › MORTENSON FAMILY DENTAL CENTER - LANDEN LLC

MORTENSON FAMILY DENTAL CENTER - LANDEN LLC

NPI: 1154875292 · MAINEVILLE, OH 45039 · General Practice Dentistry · NPI assigned 08/06/2016

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

Authorized official JAMES, STEPHEN controls 18+ related entities in our dataset. Read more

$389K
Total Medicaid Paid
18,975
Total Claims
15,874
Beneficiaries
22
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialJAMES, STEPHEN (CFO)
NPI Enumeration Date08/06/2016

Related Entities

Other providers sharing the same authorized official: JAMES, STEPHEN

ProviderCityStateTotal Paid
KIDS DENTISTREE - SHEPHERDSVILLE, PLLC SHEPHERDSVILLE KY $4.40M
KIDS DENTISTREE - CORYDON LLC CORYDON IN $3.88M
ABBEVILLE DENTISTRY - BROWNWOOD PLLC BROWNWOOD TX $2.02M
ABBEVILLE DENTISTRY - ABILENE PLLC ABILENE TX $1.70M
MORTENSON FAMILY DENTAL CENTER - DIXIE AT ROCKFORD LANE, PLLC LOUISVILLE KY $1.66M
MORTENSON FAMILY DENTAL CENTER - LAWRENCEBURG LLC LAWRENCEBURG IN $1.18M
MORTENSON FAMILY DENTAL CENTER- CARROLLTON PLLC CARROLLTON KY $654K
MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC SHELBYVILLE KY $531K
ENGILMAN ORTHODONTICS - JEFFERSON LOUISVILLE KY $372K
MORTENSON FAMILY DENTAL CENTER HILLIVIEW-OKOLONA PLLC LOUISVILLE KY $353K
ENGILMAN ORTHODONTICS-JEFFERSONVILLE, LLC JEFFERSONVILLE IN $296K
KIDS DENTISTREE OF KY, LLC LOUISVILLE KY $199K
MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC CLARKSVILLE IN $177K
MORTENSON FAMILY DENTAL CENTER - JEFFERSONTOWN CENTRAL, PLLC LOUISVILLE KY $87K
ENGILMAN ORTHODONTICS PLLC LOUISVILLE KY $57K
ENGILMAN ORTHODONTICS - LAGRANGE LA GRANGE KY $55K
ENGILMAN ORTHODONTICS - SHELBYVILLE SHELBYVILLE KY $38K
STONEHAVEN DENTAL - MIDVALE, LLC MIDVALE UT $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,549 $96K
2019 3,443 $90K
2020 2,656 $38K
2021 2,895 $58K
2022 3,996 $84K
2023 1,436 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,837 1,710 $56K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,090 589 $55K
D0120 Periodic oral evaluation - established patient 2,502 2,326 $40K
D0150 Comprehensive oral evaluation - new or established patient 1,620 1,399 $33K
D1120 Prophylaxis - child 2,007 1,758 $33K
D0330 Panoramic radiographic image 803 726 $28K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 449 263 $26K
D2394 242 135 $18K
D1208 Topical application of fluoride, excluding varnish 1,257 1,143 $18K
D7140 Extraction, erupted tooth or exposed root 259 92 $14K
D0274 Bitewings - four radiographic images 847 774 $12K
D0220 Intraoral - periapical first radiographic image 2,281 1,998 $9K
D0140 Limited oral evaluation - problem focused 458 417 $9K
D2930 Prefabricated stainless steel crown - primary tooth 86 30 $9K
D1206 Topical application of fluoride varnish 865 743 $8K
D0210 Intraoral - complete series of radiographic images 138 118 $6K
D0230 Intraoral - periapical each additional radiographic image 1,436 1,138 $6K
D1351 Sealant - per tooth 218 66 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 132 99 $2K
D0272 Bitewings - two radiographic images 395 309 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 18 12 $787.26
D0270 35 29 $100.00