Kids Dentistry-Jefferson Mall,pllc
Kids Dentistry-Jefferson Mall,pllc was paid $9.77M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
LOUISVILLE, KY 40219
Next to other Dental Clinic/Center providers in Kentucky
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 53,482 | $2.62M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 42,675 | 41,995 | $2.54M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 9,180 | 2,766 | $1.21M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 37,860 | 37,247 | $972K |
| D1206 | Topical application of fluoride varnish | 8.6% | 45,088 | 44,345 | $842K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.7% | 7,473 | 3,725 | $554K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 5,784 | 2,630 | $392K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.9% | 5,519 | 2,135 | $386K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 35,863 | 17,230 | $329K |
| D0272 | Bitewings - two radiographic images | 3.2% | 14,449 | 14,189 | $312K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 7,548 | 6,872 | $287K |
| D0330 | Panoramic radiographic image | 2.9% | 4,742 | 4,642 | $282K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 23,045 | 22,296 | $277K |
18 more codes
| D1351 | Sealant - per tooth | 2.4% | 10,229 | $236K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 6,807 | $231K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 5,651 | $229K |
| D1110 | Prophylaxis - adult | 1.7% | 3,167 | $167K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 2,300 | $146K |
| D0274 | Bitewings - four radiographic images | 1.1% | 3,243 | $111K |
| D9248 | <1% | 1,300 | $86K | |
| D1510 | <1% | 361 | $57K | |
| D2335 | <1% | 373 | $47K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,331 | $28K |
| D2330 | <1% | 268 | $20K | |
| D9420 | <1% | 338 | $19K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 129 | $12K |
| D1354 | <1% | 252 | $2K | |
| D2934 | <1% | 36 | $2K | |
| D9995 | <1% | 81 | $0.01 | |
| D9986 | 0% | 500 | $0.00 | |
| D0603 | 0% | 38 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.