MORTENSON, BRENT
NPI: 1356369169
· LOUISVILLE, KY 40243
· Dentist
· NPI assigned 07/18/2006
$614K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,147 |
$180K |
| 2019 |
2,377 |
$183K |
| 2020 |
2,394 |
$192K |
| 2021 |
1,067 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,749 |
1,056 |
$164K |
| D7240 |
Removal of impacted tooth - completely bony |
726 |
281 |
$150K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,539 |
586 |
$124K |
| D9222 |
|
802 |
773 |
$60K |
| D0330 |
Panoramic radiographic image |
1,202 |
1,156 |
$45K |
| D0140 |
Limited oral evaluation - problem focused |
1,403 |
1,347 |
$42K |
| D9610 |
|
496 |
476 |
$19K |
| D7230 |
|
48 |
28 |
$8K |
| D7250 |
|
20 |
12 |
$2K |