MORTENSON FAMILY DENTAL CENTER-VALLEY STATION
NPI: 1427376490
· LOUISVILLE, KY 40272
· 261QD0000X
$3.06M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
4,957 |
2,956 |
$318K |
| D1110 |
|
6,650 |
6,482 |
$310K |
| D0330 |
|
6,746 |
6,576 |
$305K |
| D0274 |
|
9,725 |
9,414 |
$252K |
| D2393 |
|
3,286 |
2,014 |
$242K |
| D0150 |
|
6,903 |
6,717 |
$203K |
| D4341 |
|
1,973 |
679 |
$174K |
| D0120 |
|
7,800 |
7,564 |
$172K |
| D7210 |
|
2,076 |
724 |
$150K |
| D2394 |
|
1,840 |
607 |
$143K |
| D1120 |
|
2,597 |
2,550 |
$130K |
| D0140 |
|
3,435 |
3,300 |
$114K |
| D2740 |
|
187 |
126 |
$102K |
| D0220 |
|
13,779 |
13,104 |
$98K |
| D1206 |
|
4,491 |
4,386 |
$77K |
| D0230 |
|
15,621 |
10,438 |
$73K |
| D2391 |
|
1,372 |
943 |
$72K |
| D7140 |
|
902 |
369 |
$52K |
| D2335 |
|
184 |
79 |
$15K |
| D1208 |
|
1,019 |
991 |
$15K |
| D2332 |
|
173 |
119 |
$13K |
| D4910 |
|
117 |
108 |
$12K |
| D0210 |
|
254 |
119 |
$7K |
| D1351 |
|
304 |
56 |
$7K |
| D0431 |
|
266 |
256 |
$2K |
| D2331 |
|
23 |
15 |
$2K |
| D2950 |
|
15 |
12 |
$1K |
| D0272 |
|
12 |
12 |
$275.30 |
| D9986 |
|
1,090 |
822 |
$0.00 |