KIDS DENTISTREE OF KY LLC

NPI: 1497386049 · GEORGETOWN, KY 40324 · Pediatric Dentist · NPI assigned 02/03/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$469K

Total Medicaid Paid

11,100

Total Claims

10,047

Beneficiaries

Codes Billed

2020-11

First Month

2024-12

Last Month

Provider Details

Other providers sharing the same authorized official: REIBEL, JEFF

Provider	City	State	Total Paid
ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC	LUBBOCK	TX	$6.30M
ABBEVILLE FAMILY DENTISTRY	LUBBOCK	TX	$4.42M
KIDS DENTISTREE OF KY LLC	LOUISVILLE	KY	$3.20M
KIDS DENTISTREE OF IN, LLC	NEW ALBANY	IN	$3.20M
KIDS DENTISTREE OF IN, LLC	AVON	IN	$2.68M
ORAL SURGERY GROUP OF FRANKFORT, PLLC	FRANKFORT	KY	$2.66M
SPECIALIZED DENTAL SERVICES.PLLC	LOUISVILLE	KY	$2.29M
KIDS DENTISTREE OF IN, LLC	SCOTTSBURG	IN	$2.24M
MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC	FRANKFORT	KY	$1.74M
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC	INDEPENDENCE	KY	$1.39M
MFDC OF INDIANA, INC	SCOTTSBURG	IN	$984K
MFDC OF INDIANA, INC	INDIANAPOLIS	IN	$959K
MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC	BARDSTOWN	KY	$796K
MORTENSON FAMILY DENTAL - SEYMOUR, LLC	SEYMOUR	IN	$788K
MFDC OF KY LLC	DRY RIDGE	KY	$679K
MFDC OF INDIANA, INC	AVON	IN	$648K
ABBEVILLE DENTISTRY - LEVELLAND PLLC	LEVELLAND	TX	$593K
MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC	MAINEVILLE	OH	$482K
MFDC OF INDIANA, INC	GREENWOOD	IN	$443K
MFDC OF INDIANA, INC	GREENSBURG	IN	$378K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	2,152	2,116	$146K
D0120	Periodic oral evaluation - established patient	1,507	1,484	$52K
D1208	Topical application of fluoride, excluding varnish	2,167	2,131	$51K
D2930	Prefabricated stainless steel crown - primary tooth	325	94	$50K
D7140	Extraction, erupted tooth or exposed root	286	137	$29K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	295	150	$26K
D0150	Comprehensive oral evaluation - new or established patient	712	698	$26K
D0272	Bitewings - two radiographic images	950	933	$24K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	422	404	$21K
D0220	Intraoral - periapical first radiographic image	955	923	$14K
D2391	Resin-based composite - one surface, posterior, primary or permanent	168	86	$11K
D0230	Intraoral - periapical each additional radiographic image	797	749	$9K
D1351	Sealant - per tooth	315	106	$9K
D0330	Panoramic radiographic image	12	12	$1K
D1354		24	12	$267.60
D0603		13	12	$0.00