Dental
Kids Dentistree of Ky, LLC
Kids Dentistree of Ky, LLC was paid $199K by Medicaid between Nov 2018 and Mar 2020, across 15 billing codes.
Its largest line is D1120 , dental cleaning, child — 27% of everything it billed.
33 Billing provider infoKIDS DENTISTREE OF KY, LLC
33a NPI1407341258 assigned 06/25/2018
28 Total paid$199K
24G Claims7,359
24D Codes billed15
24A First – last monthNov 2018 – Mar 2020
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid #88 of 134
Median peer was paid $467K
This provider vs. median 0.4×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed .
Entity Proliferation Authorized official JAMES, STEPHEN controls 18+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $10K $20K $30K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2018 564 $15K 2019 4,986 $134K 2020 1,809 $49K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
D1120 Dental cleaning, childProphylaxis - child
27% 1,194
1,129
$54K
D1208 Topical application of fluoride, excluding varnish
12% 1,662
1,574
$24K
D0150 Comprehensive oral evaluation - new or established patient
12% 965
911
$24K
D1110 Prophylaxis - adult
8.7% 377
363
$17K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient
6.9% 712
684
$14K
D0272 Bitewings - two radiographic images
6.9% 806
746
$14K
D0330 Panoramic radiographic image
5.9% 311
294
$12K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis
4.4% 264
217
$9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent
4.4% 136
79
$9K
D2391 Resin-based composite - one surface, posterior, primary or permanent
4.4% 175
121
$9K
D1351 Sealant - per tooth
4.2% 453
139
$8K
D0140 Limited oral evaluation - problem focused
1.3% 90
76
$3K
3 more codes
D0220 Intraoral - periapical first radiographic image
<1%
118
$1K
D7140 Extraction, erupted tooth or exposed root
<1%
18
$853.68
D0230 Intraoral - periapical each additional radiographic image
<1%
78
$514.73
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
Same official Other billing entities under JAMES, STEPHEN Full network →
Provider Location 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 Mortenson Family Dental Center - Landen LLC Maineville, OH $389K Engilman Orthodontics - Jefferson Louisville, KY $372K Mortenson Family Dental Center Hilliview-Okolona PLLC Louisville, KY $353K Engilman Orthodontics-Jeffersonville, LLC Jeffersonville, IN $296K 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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.