Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › LOUISVILLE › MORTENSON FAMILY DENTAL CENTER-HIGHLANDS PLLC

MORTENSON FAMILY DENTAL CENTER-HIGHLANDS PLLC

NPI: 1497905244 · LOUISVILLE, KY 40205 · Dental Clinic/Center · NPI assigned 09/29/2008

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

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

$144K
Total Medicaid Paid
4,814
Total Claims
4,585
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date09/29/2008

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 772 $22K
2019 598 $18K
2020 513 $13K
2021 330 $9K
2022 1,180 $32K
2023 979 $35K
2024 442 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 747 730 $36K
D0120 Periodic oral evaluation - established patient 1,229 1,199 $29K
D1206 Topical application of fluoride varnish 1,153 1,136 $20K
D1120 Prophylaxis - child 341 335 $17K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 191 77 $12K
D0274 Bitewings - four radiographic images 359 356 $10K
D0150 Comprehensive oral evaluation - new or established patient 242 240 $7K
D0330 Panoramic radiographic image 121 119 $5K
D1208 Topical application of fluoride, excluding varnish 219 215 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 21 12 $2K
D0220 Intraoral - periapical first radiographic image 127 125 $1K
D0230 Intraoral - periapical each additional radiographic image 49 27 $332.39
D0272 Bitewings - two radiographic images 15 14 $268.45