Clinic
Mortenson Family Dental Ctr-Jeffersonville
Mortenson Family Dental Ctr-Jeffersonville was paid $1.07M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoMORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
33aNPI1447458070assigned 07/05/2007
33bProvider typeDental Clinic/Center
28Total paid$1.07M
24GClaims33,586
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#28 of 123
Median peer was paid$191K
This provider vs. median5.6×
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 | 3,710 | $53K | |
| 2019 | 1,796 | $48K | |
| 2020 | 1,117 | $28K | |
| 2021 | 3,638 | $126K | |
| 2022 | 8,203 | $266K | |
| 2023 | 8,866 | $296K | |
| 2024incomplete | 6,256 | $254K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 3,584 | 3,166 | $156K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 1,725 | 908 | $111K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.1% | 1,205 | 674 | $97K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8.9% | 768 | 348 | $95K |
| D0210 | Intraoral - complete series of radiographic images | 8.6% | 2,322 | 1,604 | $92K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.8% | 2,470 | 2,109 | $83K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 3,771 | 3,296 | $78K |
| D0274 | Bitewings - four radiographic images | 6.2% | 2,344 | 2,014 | $66K |
| D0140 | Limited oral evaluation - problem focused | 5.3% | 1,793 | 1,526 | $57K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 4,195 | 3,479 | $42K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 5,651 | 2,170 | $38K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 571 | 218 | $38K |
10 more codes
| D0330 | Panoramic radiographic image | 3.2% | 895 | $34K |
| D4346 | 2.4% | 199 | $26K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 1,367 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 240 | $11K |
| D4910 | <1% | 103 | $9K | |
| D2332 | <1% | 67 | $6K | |
| D2394 | <1% | 61 | $5K | |
| D1120 | Dental cleaning, child | <1% | 105 | $3K |
| D1351 | Sealant - per tooth | <1% | 93 | $352.20 |
| D1206 | Topical application of fluoride varnish | <1% | 57 | $267.00 |
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 (OWNER PROVIDER)
| 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 | Louisville, KY | $604K |
| Mortenson Family Dental | Louisville, KY | $143K |
| 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.