Dental
Mortenson Family Dental Center - Simpsonville, PLLC
Mortenson Family Dental Center - Simpsonville, PLLC was paid $719K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 17% of everything it billed.
33Billing provider infoMORTENSON FAMILY DENTAL CENTER - SIMPSONVILLE, PLLC
SIMPSONVILLE, KY 40067
SIMPSONVILLE, KY 40067
33aNPI1285978288assigned 11/15/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$719K
24GClaims17,286
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#54 of 462
Median peer was paid$106K
This provider vs. median6.8×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,761 | $43K | |
| 2019 | 2,931 | $84K | |
| 2020 | 2,607 | $86K | |
| 2021 | 782 | $18K | |
| 2022 | 336 | $7K | |
| 2023 | 3,043 | $138K | |
| 2024incomplete | 5,826 | $343K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 17% | 188 | 154 | $122K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,298 | 724 | $93K |
| D1110 | Prophylaxis - adult | 12% | 1,790 | 1,737 | $85K |
| D0330 | Panoramic radiographic image | 9.6% | 1,294 | 1,253 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.8% | 1,692 | 1,643 | $56K |
| D0274 | Bitewings - four radiographic images | 6.6% | 1,572 | 1,531 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 1,554 | 1,506 | $37K |
| D0140 | Limited oral evaluation - problem focused | 3.9% | 654 | 625 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 431 | 278 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 496 | 484 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.1% | 267 | 172 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 2.7% | 289 | 223 | $19K |
11 more codes
| D2950 | 2.3% | 132 | $17K | |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 2,012 | $17K |
| D4342 | 1.9% | 163 | $14K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 710 | $10K |
| D1351 | Sealant - per tooth | 1.3% | 288 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 1,886 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 286 | $6K |
| D4341 | <1% | 50 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 18 | $2K |
| D0431 | <1% | 204 | $2K | |
| D0270 | <1% | 12 | $168.96 |
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 officialMCCOMBS, RONEL (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Siouxland Dental Health - South Sioux, LLC | South Sioux City, NE | $1.76M |
| Loftus Family Dental - Post Falls | Post Falls, ID | $377K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.