Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Mortenson Family Dental Center- Clarksville, LLC

Mortenson Family Dental Center- Clarksville, LLC was paid $177K by Medicaid between Sep 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.

33Billing provider infoMORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC
CLARKSVILLE, IN 47129
33aNPI1467623629assigned 03/17/2008
28Total paid$177K
24GClaims4,319
24DCodes billed14
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#236 of 723
Median peer was paid$60K
This provider vs. median3.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JAMES, STEPHEN controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201812$0.00
2021218$8K
20221,263$68K
20231,566$64K
2024incomplete1,260$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 23% 783 761 $41K
D0210 Intraoral - complete series of radiographic images 17% 499 468 $30K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 810 790 $19K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9.9% 220 106 $18K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 9.3% 88 26 $16K
D0150 Comprehensive oral evaluation - new or established patient 9.1% 390 377 $16K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 6.2% 119 69 $11K
D0220 Intraoral - periapical first radiographic image 4.7% 701 647 $8K
D0140 Limited oral evaluation - problem focused 3.2% 145 134 $6K
D0274 Bitewings - four radiographic images 2.0% 108 101 $4K
D0230 Intraoral - periapical each additional radiographic image 1.7% 289 181 $3K
D1206 Topical application of fluoride varnish 1.1% 93 93 $2K
2 more codes
D2394 <1% 15 $2K
D1208 Topical application of fluoride, excluding varnish <1% 59 $931.16

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 officialJAMES, STEPHEN (CFO)
Same official

Other billing entities under JAMES, STEPHEN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.