MFDC OF KY LLC

NPI: 1437742855 · DRY RIDGE, KY 41035 · Dentist · NPI assigned 02/17/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$679K

Total Medicaid Paid

19,645

Total Claims

16,910

Beneficiaries

Codes Billed

2021-06

First Month

2024-12

Last Month

Provider Details

Authorized Official	REIBEL, JEFF (CFO)
Parent Organization	MORTENSON FAMILY DENTAL CENTER
NPI Enumeration Date	02/17/2021

Other providers sharing the same authorized official: REIBEL, JEFF

Provider	City	State	Total Paid
ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC	LUBBOCK	TX	$6.30M
ABBEVILLE FAMILY DENTISTRY	LUBBOCK	TX	$4.42M
KIDS DENTISTREE OF KY LLC	LOUISVILLE	KY	$3.20M
KIDS DENTISTREE OF IN, LLC	NEW ALBANY	IN	$3.20M
KIDS DENTISTREE OF IN, LLC	AVON	IN	$2.68M
ORAL SURGERY GROUP OF FRANKFORT, PLLC	FRANKFORT	KY	$2.66M
SPECIALIZED DENTAL SERVICES.PLLC	LOUISVILLE	KY	$2.29M
KIDS DENTISTREE OF IN, LLC	SCOTTSBURG	IN	$2.24M
MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC	FRANKFORT	KY	$1.74M
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC	INDEPENDENCE	KY	$1.39M
MFDC OF INDIANA, INC	SCOTTSBURG	IN	$984K
MFDC OF INDIANA, INC	INDIANAPOLIS	IN	$959K
MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC	BARDSTOWN	KY	$796K
MORTENSON FAMILY DENTAL - SEYMOUR, LLC	SEYMOUR	IN	$788K
MFDC OF INDIANA, INC	AVON	IN	$648K
ABBEVILLE DENTISTRY - LEVELLAND PLLC	LEVELLAND	TX	$593K
MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC	MAINEVILLE	OH	$482K
KIDS DENTISTREE OF KY LLC	GEORGETOWN	KY	$469K
MFDC OF INDIANA, INC	GREENWOOD	IN	$443K
MFDC OF INDIANA, INC	GREENSBURG	IN	$378K

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1,436	850	$89K
D1120	Prophylaxis - child	1,459	1,419	$82K
D1110	Prophylaxis - adult	1,533	1,468	$73K
D0150	Comprehensive oral evaluation - new or established patient	2,291	2,161	$68K
D0330	Panoramic radiographic image	1,315	1,217	$60K
D2391	Resin-based composite - one surface, posterior, primary or permanent	952	608	$46K
D0120	Periodic oral evaluation - established patient	1,607	1,558	$40K
D0210	Intraoral - complete series of radiographic images	1,005	754	$40K
D0274	Bitewings - four radiographic images	1,445	1,386	$39K
D1206	Topical application of fluoride varnish	1,964	1,900	$33K
D0140	Limited oral evaluation - problem focused	719	667	$26K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	346	211	$24K
D7140	Extraction, erupted tooth or exposed root	426	166	$20K
D0220	Intraoral - periapical first radiographic image	1,458	1,371	$13K
D2394		96	62	$7K
D0230	Intraoral - periapical each additional radiographic image	1,197	966	$7K
D1351	Sealant - per tooth	311	91	$6K
D2332		32	16	$2K
D4341		23	12	$1K
D0272	Bitewings - two radiographic images	30	27	$522.34