Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MORTENSON FAMILY DENTAL CENTER HILLIVIEW-OKOLONA PLLC

NPI: 1467564112 · LOUISVILLE, KY 40229 · Dental Clinic/Center · NPI assigned 08/31/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JAMES, STEPHEN controls 18+ related entities in our dataset. Read more

$353K
Total Medicaid Paid
11,205
Total Claims
10,361
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJAMES, STEPHEN (CFO)
NPI Enumeration Date08/31/2006

Related Entities

Other providers sharing the same authorized official: JAMES, STEPHEN

ProviderCityStateTotal Paid
KIDS DENTISTREE - SHEPHERDSVILLE, PLLC SHEPHERDSVILLE KY $4.40M
KIDS DENTISTREE - CORYDON LLC CORYDON IN $3.88M
ABBEVILLE DENTISTRY - BROWNWOOD PLLC BROWNWOOD TX $2.02M
ABBEVILLE DENTISTRY - ABILENE PLLC ABILENE TX $1.70M
MORTENSON FAMILY DENTAL CENTER - DIXIE AT ROCKFORD LANE, PLLC LOUISVILLE KY $1.66M
MORTENSON FAMILY DENTAL CENTER - LAWRENCEBURG LLC LAWRENCEBURG IN $1.18M
MORTENSON FAMILY DENTAL CENTER- CARROLLTON PLLC CARROLLTON KY $654K
MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC SHELBYVILLE KY $531K
MORTENSON FAMILY DENTAL CENTER - LANDEN LLC MAINEVILLE OH $389K
ENGILMAN ORTHODONTICS - JEFFERSON LOUISVILLE KY $372K
ENGILMAN ORTHODONTICS-JEFFERSONVILLE, LLC JEFFERSONVILLE IN $296K
KIDS DENTISTREE OF KY, LLC LOUISVILLE KY $199K
MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC CLARKSVILLE IN $177K
MORTENSON FAMILY DENTAL CENTER - JEFFERSONTOWN CENTRAL, PLLC LOUISVILLE KY $87K
ENGILMAN ORTHODONTICS PLLC LOUISVILLE KY $57K
ENGILMAN ORTHODONTICS - LAGRANGE LA GRANGE KY $55K
ENGILMAN ORTHODONTICS - SHELBYVILLE SHELBYVILLE KY $38K
STONEHAVEN DENTAL - MIDVALE, LLC MIDVALE UT $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,613 $84K
2019 3,166 $99K
2020 2,448 $74K
2021 83 $3K
2022 1,470 $42K
2023 855 $31K
2024 570 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,437 1,407 $68K
D1120 Prophylaxis - child 1,208 1,179 $59K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 756 411 $48K
D0120 Periodic oral evaluation - established patient 1,937 1,889 $43K
D0274 Bitewings - four radiographic images 1,235 1,204 $36K
D1206 Topical application of fluoride varnish 1,363 1,347 $23K
D0150 Comprehensive oral evaluation - new or established patient 838 819 $21K
D1208 Topical application of fluoride, excluding varnish 1,142 1,100 $17K
D0330 Panoramic radiographic image 393 383 $15K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 170 105 $13K
D0220 Intraoral - periapical first radiographic image 321 309 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 55 42 $3K
D0230 Intraoral - periapical each additional radiographic image 264 129 $2K
D1351 Sealant - per tooth 62 14 $1K
D0140 Limited oral evaluation - problem focused 24 23 $624.03