MORTENSON FAMILY DENTAL CENTER - SIMPSONVILLE, PLLC
NPI: 1285978288
· SIMPSONVILLE, KY 40067
· 1223G0001X
$719K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,761 |
$43K |
| 2019 |
2,931 |
$84K |
| 2020 |
2,607 |
$86K |
| 2021 |
782 |
$18K |
| 2022 |
336 |
$7K |
| 2023 |
3,043 |
$138K |
| 2024 |
5,826 |
$343K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
|
188 |
154 |
$122K |
| D2392 |
|
1,298 |
724 |
$93K |
| D1110 |
|
1,790 |
1,737 |
$85K |
| D0330 |
|
1,294 |
1,253 |
$69K |
| D0150 |
|
1,692 |
1,643 |
$56K |
| D0274 |
|
1,572 |
1,531 |
$47K |
| D0120 |
|
1,554 |
1,506 |
$37K |
| D0140 |
|
654 |
625 |
$28K |
| D2391 |
|
431 |
278 |
$24K |
| D1120 |
|
496 |
484 |
$24K |
| D2393 |
|
267 |
172 |
$22K |
| D0210 |
|
289 |
223 |
$19K |
| D2950 |
|
132 |
116 |
$17K |
| D0220 |
|
2,012 |
1,884 |
$17K |
| D4342 |
|
163 |
71 |
$14K |
| D1208 |
|
710 |
680 |
$10K |
| D1351 |
|
288 |
33 |
$9K |
| D0230 |
|
1,886 |
1,018 |
$9K |
| D1206 |
|
286 |
277 |
$6K |
| D4341 |
|
50 |
12 |
$4K |
| D7140 |
|
18 |
13 |
$2K |
| D0431 |
|
204 |
201 |
$2K |
| D0270 |
|
12 |
12 |
$168.96 |