Clinic
Mortenson Family Dental
Mortenson Family Dental was paid $604K by Medicaid between Apr 2018 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoMORTENSON FAMILY DENTAL
LOUISVILLE, KY 40216
LOUISVILLE, KY 40216
33aNPI1376655498assigned 08/31/2006
33bProvider typeDental Clinic/Center
28Total paid$604K
24GClaims17,984
24DCodes billed16
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Kentucky
Rank by total paid#17 of 50
Median peer was paid$353K
This provider vs. median1.7×
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 | 1,265 | $36K | |
| 2019 | 1,460 | $40K | |
| 2020 | 1,924 | $37K | |
| 2021 | 1,280 | $41K | |
| 2022 | 4,088 | $132K | |
| 2023 | 5,571 | $230K | |
| 2024incomplete | 2,396 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 1,468 | 713 | $104K |
| D1110 | Prophylaxis - adult | 16% | 1,936 | 1,837 | $99K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,524 | 1,409 | $78K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 2,546 | 2,407 | $61K |
| D0330 | Panoramic radiographic image | 8.1% | 1,179 | 1,070 | $49K |
| D0274 | Bitewings - four radiographic images | 8.0% | 1,741 | 1,613 | $48K |
| D1206 | Topical application of fluoride varnish | 7.6% | 2,501 | 2,376 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 1,262 | 1,151 | $35K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.1% | 340 | 197 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 258 | 162 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 1,027 | 931 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 1,238 | 1,143 | $11K |
4 more codes
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 officialMORTENSON, OWEN (GEN DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mortenson Family Dental | Lagrange, KY | $2.84M |
| Mortenson Family Dental | Louisville, KY | $2.80M |
| Mortenson Family Dental | Shepherdsville, KY | $2.18M |
| Mortenson Family Dental Center-Corydon,pllc | Corydon, IN | $1.67M |
| Mortenson Family Dental Ctr-Jeffersonville | Jeffersonville, IN | $1.07M |
| Mortenson Family Dental | Louisville, KY | $143K |
| Mortenson Family Dental | New Albany, IN | $112K |
| Mortenson Family Dental Center-Florence,pllc | Florence, KY | $110K |
| .Mortenson Family Dental Center | Louisville, KY | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.