Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MORTENSON FAMILY DENTAL CENTER-VALLEY STATION

NPI: 1427376490 · LOUISVILLE, KY 40272 · Dental Clinic/Center · NPI assigned 05/14/2010

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

Authorized official JAMES, STEVE controls 20+ related entities in our dataset. Read more

$3.06M
Total Medicaid Paid
97,797
Total Claims
81,538
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date05/14/2010

Related Entities

Other providers sharing the same authorized official: JAMES, STEVE

ProviderCityStateTotal Paid
KIDS DENTISTRY-JEFFERSON MALL,PLLC LOUISVILLE KY $9.77M
KIDS DENTISTRY-JEFFERSONVILLE, LLC JEFFERSONVILLE IN $6.37M
KIDS DENTISTRY-NEW ALBANY NEW ALBANY IN $4.61M
KIDS DENTISTREE - WESTPORT VILLAGE LOUISVILLE KY $4.19M
ORAL SURGERY GROUP OF SOUTHERN INDIANA, LLC NEW ALBANY IN $1.99M
SUMMIT DENTAL HEALTH - E STREET LLC OMAHA NE $1.99M
SUMMIT DENTAL HEALTH - BRENTWOOD LLC LA VISTA NE $1.79M
MORTENSON FAMILY DENTAL CENTER-FOREST GREEN, PLLC LOUISVILLE KY $1.77M
SUMMIT DENTAL HEALTH - DUNDEE LLC OMAHA NE $1.71M
SUMMIT DENTAL HEALTH - TOWNE LLC BELLEVUE NE $1.60M
SUMMIT DENTAL HEALTH - CENTER LLC OMAHA NE $1.28M
SUMMIT DENTAL HEALTH - OAKVIEW, LLC OMAHA NE $1.21M
MORTENSON FAMILY DENTAL CENTER LOUISVILLE KY $1.10M
MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC VERSAILLES KY $793K
MORTENSON FAMILY DENTAL CENTER CRESTWOOD KY $631K
MORTENSONFAMILYDENTALCENTER-BUECHEL, PLLC LOUISVILLE KY $554K
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC ELIZABETHTOWN KY $546K
SUMMIT DENTAL HEALTH - OLD MARKET LLC OMAHA NE $543K
CHILDREN'S DENTAL CENTER OF BIG SPRING, PLLC BIG SPRING TX $481K
MORTENSON FAMILY DENTAL CENTER-SHELBYVILLE EAST SHELBYVILLE KY $443K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,263 $565K
2019 15,551 $411K
2020 15,261 $392K
2021 7,568 $185K
2022 13,932 $396K
2023 17,223 $702K
2024 9,999 $408K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,957 2,956 $318K
D1110 Prophylaxis - adult 6,650 6,482 $310K
D0330 Panoramic radiographic image 6,746 6,576 $305K
D0274 Bitewings - four radiographic images 9,725 9,414 $252K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 3,286 2,014 $242K
D0150 Comprehensive oral evaluation - new or established patient 6,903 6,717 $203K
D4341 1,973 679 $174K
D0120 Periodic oral evaluation - established patient 7,800 7,564 $172K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2,076 724 $150K
D2394 1,840 607 $143K
D1120 Prophylaxis - child 2,597 2,550 $130K
D0140 Limited oral evaluation - problem focused 3,435 3,300 $114K
D2740 Crown - porcelain/ceramic 187 126 $102K
D0220 Intraoral - periapical first radiographic image 13,779 13,104 $98K
D1206 Topical application of fluoride varnish 4,491 4,386 $77K
D0230 Intraoral - periapical each additional radiographic image 15,621 10,438 $73K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,372 943 $72K
D7140 Extraction, erupted tooth or exposed root 902 369 $52K
D2335 184 79 $15K
D1208 Topical application of fluoride, excluding varnish 1,019 991 $15K
D2332 173 119 $13K
D4910 117 108 $12K
D0210 Intraoral - complete series of radiographic images 254 119 $7K
D1351 Sealant - per tooth 304 56 $7K
D0431 266 256 $2K
D2331 23 15 $2K
D2950 15 12 $1K
D0272 Bitewings - two radiographic images 12 12 $275.30
D9986 1,090 822 $0.00