Clinic
Mortenson Family Dental Center - Georgetown, PLLC
Mortenson Family Dental Center - Georgetown, PLLC was paid $1.64M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 13% of everything it billed.
33Billing provider infoMORTENSON FAMILY DENTAL CENTER - GEORGETOWN, PLLC
GEORGETOWN, KY 40324
GEORGETOWN, KY 40324
33aNPI1669774022assigned 11/17/2010
33bProvider typeDental Clinic/Center
28Total paid$1.64M
24GClaims52,552
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Kentucky
Rank by total paid#10 of 50
Median peer was paid$353K
This provider vs. median4.6×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,259 | $268K | |
| 2019 | 11,264 | $342K | |
| 2020 | 8,366 | $206K | |
| 2021 | 1,366 | $22K | |
| 2022 | 8,176 | $242K | |
| 2023 | 8,503 | $310K | |
| 2024incomplete | 5,618 | $246K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 3,614 | 1,864 | $218K |
| D0274 | Bitewings - four radiographic images | 11% | 5,797 | 5,594 | $177K |
| D1110 | Prophylaxis - adult | 10% | 3,360 | 3,257 | $164K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.4% | 2,258 | 1,124 | $153K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 5,055 | 4,887 | $148K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 3,816 | 3,692 | $96K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 9,087 | 8,433 | $91K |
| D2740 | Crown - porcelain/ceramic | 5.4% | 187 | 126 | $88K |
| D0330 | Panoramic radiographic image | 4.4% | 1,532 | 1,474 | $72K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.1% | 1,507 | 1,463 | $68K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 1,864 | 1,783 | $61K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 7,641 | 6,348 | $58K |
15 more codes
| D2394 | 3.4% | 741 | $56K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 675 | $40K |
| D1206 | Topical application of fluoride varnish | 2.1% | 1,960 | $34K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 614 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 1,512 | $23K |
| D2950 | <1% | 144 | $16K | |
| D4341 | <1% | 151 | $13K | |
| D1351 | Sealant - per tooth | <1% | 573 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 78 | $7K |
| D2335 | <1% | 63 | $5K | |
| D4910 | <1% | 41 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 52 | $2K |
| D2331 | <1% | 38 | $2K | |
| D0431 | <1% | 177 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 15 | $263.89 |
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.
From NPPES
Who's on the registration
Authorized officialJAMES, STEVEN (CFO)