Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › LOUISVILLE › KIDS DENTISTREE OF KY, LLC

KIDS DENTISTREE OF KY, LLC

NPI: 1407341258 · LOUISVILLE, KY 40220 · Pediatric Dentist · NPI assigned 06/25/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JAMES, STEPHEN controls 18+ related entities in our dataset. Read more

$199K
Total Medicaid Paid
7,359
Total Claims
6,501
Beneficiaries
15
Codes Billed
2018-11
First Month
2020-03
Last Month

Provider Details

Authorized OfficialJAMES, STEPHEN (CFO)
NPI Enumeration Date06/25/2018

Related Entities

Other providers sharing the same authorized official: JAMES, STEPHEN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 564 $15K
2019 4,986 $134K
2020 1,809 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 1,194 1,129 $54K
D1208 Topical application of fluoride, excluding varnish 1,662 1,574 $24K
D0150 Comprehensive oral evaluation - new or established patient 965 911 $24K
D1110 Prophylaxis - adult 377 363 $17K
D0120 Periodic oral evaluation - established patient 712 684 $14K
D0272 Bitewings - two radiographic images 806 746 $14K
D0330 Panoramic radiographic image 311 294 $12K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 264 217 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 136 79 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 175 121 $9K
D1351 Sealant - per tooth 453 139 $8K
D0140 Limited oral evaluation - problem focused 90 76 $3K
D0220 Intraoral - periapical first radiographic image 118 112 $1K
D7140 Extraction, erupted tooth or exposed root 18 12 $853.68
D0230 Intraoral - periapical each additional radiographic image 78 44 $514.73