Medicaid Provider Spending

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

MORTENSON FAMILY DENTAL CENTER - JEFFERSONTOWN CENTRAL, PLLC

NPI: 1497147383 · LOUISVILLE, KY 40299 · General Practice Dentistry · NPI assigned 03/02/2015

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

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

$87K
Total Medicaid Paid
1,723
Total Claims
1,413
Beneficiaries
14
Codes Billed
2023-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJAMES, STEPHEN (CFO)
NPI Enumeration Date03/02/2015

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- CLARKSVILLE, LLC CLARKSVILLE IN $177K
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
2023 1,189 $54K
2024 534 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 359 257 $25K
D0150 Comprehensive oral evaluation - new or established patient 461 422 $18K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 162 82 $14K
D0330 Panoramic radiographic image 114 108 $9K
D1110 Prophylaxis - adult 101 101 $6K
D0274 Bitewings - four radiographic images 117 115 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 46 30 $3K
D0220 Intraoral - periapical first radiographic image 151 141 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 14 12 $2K
D0140 Limited oral evaluation - problem focused 29 29 $2K
D2950 16 12 $1K
D0120 Periodic oral evaluation - established patient 26 26 $891.12
D1206 Topical application of fluoride varnish 33 29 $669.32
D0230 Intraoral - periapical each additional radiographic image 94 49 $635.14