Medicaid Provider Spending

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

MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC

NPI: 1467623629 · CLARKSVILLE, IN 47129 · General Practice Dentistry · NPI assigned 03/17/2008

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

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

$177K
Total Medicaid Paid
4,319
Total Claims
3,823
Beneficiaries
14
Codes Billed
2018-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJAMES, STEPHEN (CFO)
NPI Enumeration Date03/17/2008

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
MORTENSON FAMILY DENTAL CENTER HILLIVIEW-OKOLONA PLLC LOUISVILLE KY $353K
ENGILMAN ORTHODONTICS-JEFFERSONVILLE, LLC JEFFERSONVILLE IN $296K
KIDS DENTISTREE OF KY, LLC LOUISVILLE KY $199K
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 12 $0.00
2021 218 $8K
2022 1,263 $68K
2023 1,566 $64K
2024 1,260 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 783 761 $41K
D0210 Intraoral - complete series of radiographic images 499 468 $30K
D0120 Periodic oral evaluation - established patient 810 790 $19K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 220 106 $18K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 88 26 $16K
D0150 Comprehensive oral evaluation - new or established patient 390 377 $16K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 119 69 $11K
D0220 Intraoral - periapical first radiographic image 701 647 $8K
D0140 Limited oral evaluation - problem focused 145 134 $6K
D0274 Bitewings - four radiographic images 108 101 $4K
D0230 Intraoral - periapical each additional radiographic image 289 181 $3K
D1206 Topical application of fluoride varnish 93 93 $2K
D2394 15 12 $2K
D1208 Topical application of fluoride, excluding varnish 59 58 $931.16