Medicaid Provider Spending

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

NPI: 1497168975 · PROVO, UT 84604 · Dental Clinic/Center · NPI assigned 06/03/2014

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

Authorized official JAMES, STEVE controls 20+ related entities in our dataset. Read more

$131K
Total Medicaid Paid
6,374
Total Claims
4,571
Beneficiaries
14
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date06/03/2014

Related Entities

Other providers sharing the same authorized official: JAMES, STEVE

ProviderCityStateTotal Paid
KIDS DENTISTRY-JEFFERSON MALL,PLLC LOUISVILLE KY $9.77M
KIDS DENTISTRY-JEFFERSONVILLE, LLC JEFFERSONVILLE IN $6.37M
KIDS DENTISTRY-NEW ALBANY NEW ALBANY IN $4.61M
KIDS DENTISTREE - WESTPORT VILLAGE LOUISVILLE KY $4.19M
MORTENSON FAMILY DENTAL CENTER-VALLEY STATION LOUISVILLE KY $3.06M
ORAL SURGERY GROUP OF SOUTHERN INDIANA, LLC NEW ALBANY IN $1.99M
SUMMIT DENTAL HEALTH - E STREET LLC OMAHA NE $1.99M
SUMMIT DENTAL HEALTH - BRENTWOOD LLC LA VISTA NE $1.79M
MORTENSON FAMILY DENTAL CENTER-FOREST GREEN, PLLC LOUISVILLE KY $1.77M
SUMMIT DENTAL HEALTH - DUNDEE LLC OMAHA NE $1.71M
SUMMIT DENTAL HEALTH - TOWNE LLC BELLEVUE NE $1.60M
SUMMIT DENTAL HEALTH - CENTER LLC OMAHA NE $1.28M
SUMMIT DENTAL HEALTH - OAKVIEW, LLC OMAHA NE $1.21M
MORTENSON FAMILY DENTAL CENTER LOUISVILLE KY $1.10M
MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC VERSAILLES KY $793K
MORTENSON FAMILY DENTAL CENTER CRESTWOOD KY $631K
MORTENSONFAMILYDENTALCENTER-BUECHEL, PLLC LOUISVILLE KY $554K
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC ELIZABETHTOWN KY $546K
SUMMIT DENTAL HEALTH - OLD MARKET LLC OMAHA NE $543K
CHILDREN'S DENTAL CENTER OF BIG SPRING, PLLC BIG SPRING TX $481K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,315 $53K
2019 1,032 $19K
2020 1,752 $35K
2021 1,275 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 616 605 $83K
D2150 Silver amalgam - two surfaces, primary or permanent 199 76 $12K
D0140 Limited oral evaluation - problem focused 134 132 $10K
D0150 Comprehensive oral evaluation - new or established patient 71 65 $10K
D0220 Intraoral - periapical first radiographic image 1,386 1,301 $5K
D0274 Bitewings - four radiographic images 461 448 $3K
D1110 Prophylaxis - adult 122 119 $2K
D1351 Sealant - per tooth 154 32 $1K
D1206 Topical application of fluoride varnish 465 455 $973.68
D2160 31 13 $963.77
D1120 Prophylaxis - child 385 379 $677.42
D0230 Intraoral - periapical each additional radiographic image 2,283 886 $195.54
D0210 Intraoral - complete series of radiographic images 50 48 $125.10
D2950 17 12 $0.00