MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE
NPI: 1447458070
· JEFFERSONVILLE, IN 47130
· 261QD0000X
$1.07M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,710 |
$53K |
| 2019 |
1,796 |
$48K |
| 2020 |
1,117 |
$28K |
| 2021 |
3,638 |
$126K |
| 2022 |
8,203 |
$266K |
| 2023 |
8,866 |
$296K |
| 2024 |
6,256 |
$254K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,584 |
3,166 |
$156K |
| D2392 |
|
1,725 |
908 |
$111K |
| D2393 |
|
1,205 |
674 |
$97K |
| D7210 |
|
768 |
348 |
$95K |
| D0210 |
|
2,322 |
1,604 |
$92K |
| D0150 |
|
2,470 |
2,109 |
$83K |
| D0120 |
|
3,771 |
3,296 |
$78K |
| D0274 |
|
2,344 |
2,014 |
$66K |
| D0140 |
|
1,793 |
1,526 |
$57K |
| D0220 |
|
4,195 |
3,479 |
$42K |
| D0230 |
|
5,651 |
2,170 |
$38K |
| D7140 |
|
571 |
218 |
$38K |
| D0330 |
|
895 |
748 |
$34K |
| D4346 |
|
199 |
161 |
$26K |
| D1208 |
|
1,367 |
1,180 |
$21K |
| D2391 |
|
240 |
147 |
$11K |
| D4910 |
|
103 |
78 |
$9K |
| D2332 |
|
67 |
38 |
$6K |
| D2394 |
|
61 |
29 |
$5K |
| D1120 |
|
105 |
95 |
$3K |
| D1351 |
|
93 |
12 |
$352.20 |
| D1206 |
|
57 |
42 |
$267.00 |