Medicaid Provider Spending

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

MORTENSON FAMILY DENTAL CENTER - PROSPECT PLLC

NPI: 1588768758 · PROSPECT, KY 40059 · General Practice Dentistry · NPI assigned 09/11/2006

$10K
Total Medicaid Paid
264
Total Claims
230
Beneficiaries
6
Codes Billed
2023-07
First Month
2024-09
Last Month

Provider Details

Authorized OfficialARMSTRONG, KATHIE (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date09/11/2006

Related Entities

Other providers sharing the same authorized official: ARMSTRONG, KATHIE

ProviderCityStateTotal Paid
KIDS DENTISTRY- DIXIE HIGHWAY PLLC LOUISVILLE KY $6.96M
KIDS DENTISTREE OF ABBEVILLE-ODESSA PLLC ODESSA TX $5.93M
MORTENSON FAMILY DENTAL CENTER- FT WRIGHT PLLC FT MITCHELL KY $739K
ORAL SURGERY GROUP OF MIDDLETOWN, PLLC MIDDLETOWN KY $436K
MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE CLARKSVILLE IN $195K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 127 $6K
2024 137 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 82 81 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 33 12 $3K
D1206 Topical application of fluoride varnish 93 87 $2K
D0150 Comprehensive oral evaluation - new or established patient 30 26 $1K
D1120 Prophylaxis - child 14 12 $952.42
D1110 Prophylaxis - adult 12 12 $721.56