Clinic
Mortenson Family Dental
Mortenson Family Dental was paid $143K by Medicaid between Jan 2018 and Jan 2023, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoMORTENSON FAMILY DENTAL
LOUISVILLE, KY 40291
LOUISVILLE, KY 40291
33aNPI1407968159assigned 08/31/2006
33bProvider typeDental Clinic/Center
28Total paid$143K
24GClaims5,425
24DCodes billed14
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Dental Clinic/Center providers in Kentucky
Rank by total paid#33 of 50
Median peer was paid$353K
This provider vs. median0.4×
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.
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 | 1,322 | $33K | |
| 2019 | 1,210 | $29K | |
| 2020 | 1,263 | $32K | |
| 2021 | 52 | $1K | |
| 2022 | 1,488 | $46K | |
| 2023 | 90 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 765 | 739 | $32K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 400 | 168 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,026 | 979 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 403 | 392 | $18K |
| D0274 | Bitewings - four radiographic images | 11% | 653 | 626 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 7.2% | 700 | 667 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 575 | 522 | $5K |
| D0330 | Panoramic radiographic image | 3.4% | 135 | 130 | $5K |
| D1206 | Topical application of fluoride varnish | 3.0% | 291 | 284 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 160 | 151 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 264 | 242 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 23 | 12 | $2K |
2 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 | $604K |
| 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.