Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › SEYMOUR › MORTENSON FAMILY DENTAL - SEYMOUR, LLC

MORTENSON FAMILY DENTAL - SEYMOUR, LLC

NPI: 1609392620 · SEYMOUR, IN 47274 · General Practice Dentistry · NPI assigned 08/22/2017

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

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

$788K
Total Medicaid Paid
28,599
Total Claims
19,954
Beneficiaries
25
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREIBEL, JEFF (MANAGER)
NPI Enumeration Date08/22/2017

Related Entities

Other providers sharing the same authorized official: REIBEL, JEFF

ProviderCityStateTotal 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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,292 $22K
2019 1,659 $39K
2020 223 $5K
2021 1,507 $46K
2022 4,839 $156K
2023 6,838 $208K
2024 10,241 $313K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,449 832 $91K
D1110 Prophylaxis - adult 1,742 1,635 $80K
D0150 Comprehensive oral evaluation - new or established patient 2,352 2,155 $73K
D1351 Sealant - per tooth 3,009 471 $71K
D0120 Periodic oral evaluation - established patient 2,429 2,286 $56K
D0210 Intraoral - complete series of radiographic images 3,281 1,598 $54K
D0274 Bitewings - four radiographic images 1,719 1,623 $51K
D0330 Panoramic radiographic image 1,408 1,268 $51K
D1120 Prophylaxis - child 1,488 1,370 $46K
D1206 Topical application of fluoride varnish 2,143 1,972 $40K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 442 302 $36K
D2391 Resin-based composite - one surface, posterior, primary or permanent 535 332 $23K
D7140 Extraction, erupted tooth or exposed root 233 81 $18K
D0140 Limited oral evaluation - problem focused 491 454 $17K
D0230 Intraoral - periapical each additional radiographic image 2,425 874 $17K
D0220 Intraoral - periapical first radiographic image 1,921 1,670 $16K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 434 359 $12K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 62 28 $10K
D0240 578 261 $9K
D1208 Topical application of fluoride, excluding varnish 224 204 $4K
D4346 33 31 $4K
D2931 15 12 $3K
D1320 76 70 $3K
D1354 46 12 $1K
D0272 Bitewings - two radiographic images 64 54 $297.72