Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KIDS DENTISTRY-JEFFERSON MALL,PLLC

NPI: 1639357502 · LOUISVILLE, KY 40219 · Dental Clinic/Center · NPI assigned 02/04/2008

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

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

$9.77M
Total Medicaid Paid
275,630
Total Claims
226,633
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (COO)
NPI Enumeration Date02/04/2008

Related Entities

Other providers sharing the same authorized official: JAMES, STEVE

ProviderCityStateTotal Paid
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
MORTENSON FAMILY DENTAL CENTER-SHELBYVILLE EAST SHELBYVILLE KY $443K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,870 $798K
2019 33,175 $917K
2020 31,361 $843K
2021 31,358 $865K
2022 44,358 $1.45M
2023 52,026 $2.28M
2024 53,482 $2.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 42,675 41,995 $2.54M
D2930 Prefabricated stainless steel crown - primary tooth 9,180 2,766 $1.21M
D0120 Periodic oral evaluation - established patient 37,860 37,247 $972K
D1206 Topical application of fluoride varnish 45,088 44,345 $842K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7,473 3,725 $554K
D7140 Extraction, erupted tooth or exposed root 5,784 2,630 $392K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 5,519 2,135 $386K
D0230 Intraoral - periapical each additional radiographic image 35,863 17,230 $329K
D0272 Bitewings - two radiographic images 14,449 14,189 $312K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 7,548 6,872 $287K
D0330 Panoramic radiographic image 4,742 4,642 $282K
D0220 Intraoral - periapical first radiographic image 23,045 22,296 $277K
D1351 Sealant - per tooth 10,229 2,727 $236K
D0150 Comprehensive oral evaluation - new or established patient 6,807 6,690 $231K
D0140 Limited oral evaluation - problem focused 5,651 5,393 $229K
D1110 Prophylaxis - adult 3,167 3,108 $167K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,300 1,407 $146K
D0274 Bitewings - four radiographic images 3,243 3,184 $111K
D9248 1,300 1,111 $86K
D1510 361 277 $57K
D2335 373 158 $47K
D0145 Oral evaluation for a patient under three years of age 1,331 1,308 $28K
D2330 268 144 $20K
D9420 338 319 $19K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 129 80 $12K
D1354 252 92 $2K
D2934 36 12 $2K
D9995 81 75 $0.01
D9986 500 438 $0.00
D0603 38 38 $0.00