KIDS DENTISTREE OF KY LLC

NPI: 1588204655 · LOUISVILLE, KY 40291 · Pediatric Dentist · NPI assigned 01/07/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$3.20M

Total Medicaid Paid

73,097

Total Claims

58,724

Beneficiaries

Codes Billed

2021-03

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 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
KIDS DENTISTREE OF KY LLC	GEORGETOWN	KY	$469K
MFDC OF INDIANA, INC	GREENWOOD	IN	$443K
MFDC OF INDIANA, INC	GREENSBURG	IN	$378K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	9,795	9,667	$661K
D2930	Prefabricated stainless steel crown - primary tooth	3,146	834	$416K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4,129	2,535	$332K
D0120	Periodic oral evaluation - established patient	7,354	7,274	$227K
D1206	Topical application of fluoride varnish	8,619	8,499	$189K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3,802	3,648	$155K
D7140	Extraction, erupted tooth or exposed root	1,930	1,101	$146K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2,228	1,462	$142K
D0150	Comprehensive oral evaluation - new or established patient	3,917	3,862	$142K
D0330	Panoramic radiographic image	1,966	1,933	$113K
D1351	Sealant - per tooth	4,082	1,468	$102K
D0272	Bitewings - two radiographic images	3,818	3,772	$91K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	959	358	$72K
D0230	Intraoral - periapical each additional radiographic image	6,978	2,670	$65K
D0140	Limited oral evaluation - problem focused	1,164	1,135	$59K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	579	460	$57K
D1110	Prophylaxis - adult	961	946	$56K
D0220	Intraoral - periapical first radiographic image	4,184	4,030	$52K
D2335		440	178	$49K
D1208	Topical application of fluoride, excluding varnish	1,726	1,710	$28K
D0274	Bitewings - four radiographic images	762	755	$26K
D9420		294	285	$21K
D7961		13	12	$3K
D1354		170	70	$2K
D3120		57	36	$91.80
D0603		24	24	$0.00