Dental
Andrew R. Mortensen, D.M.D., P.C.
Andrew R. Mortensen, D.M.D., P.C. was paid $864.12 by Medicaid between Sep 2019 and Sep 2019, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 64% of everything it billed.
33Billing provider infoANDREW R. MORTENSEN, D.M.D., P.C.
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
33aNPI1457759177assigned 12/11/2014
33bProvider typePublic Health Dentist
28Total paid$864.12
24GClaims27
24DCodes billed2
24AFirst – last monthSep 2019 – Sep 2019
Compared with peers
Next to other Public Health Dentist providers in Colorado
Rank by total paid#8 of 9
Median peer was paid$213K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 27 | $864.12 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 64% | 13 | 12 | $554.72 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 14 | 13 | $309.40 |
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 officialMORTENSEN, ANDREW (OWNER/PRESIDENT)