Medicaid Provider Spending

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

MORTENSON FAMILY DENTAL CENTER

NPI: 1699922849 · CRESTWOOD, KY 40014 · Dental Clinic/Center · NPI assigned 08/19/2008

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

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

$631K
Total Medicaid Paid
21,259
Total Claims
18,160
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (COO)
NPI Enumeration Date08/19/2008

Related Entities

Other providers sharing the same authorized official: JAMES, STEVE

ProviderCityStateTotal Paid
KIDS DENTISTRY-JEFFERSON MALL,PLLC LOUISVILLE KY $9.77M
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
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 5,500 $147K
2019 5,137 $143K
2020 3,151 $77K
2021 109 $2K
2022 2,386 $56K
2023 2,369 $77K
2024 2,607 $129K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 2,516 2,403 $109K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,784 883 $108K
D0120 Periodic oral evaluation - established patient 3,413 3,234 $72K
D1120 Prophylaxis - child 1,134 1,103 $55K
D0274 Bitewings - four radiographic images 2,081 1,970 $53K
D0330 Panoramic radiographic image 951 912 $40K
D2740 Crown - porcelain/ceramic 90 45 $38K
D1206 Topical application of fluoride varnish 1,796 1,725 $28K
D0150 Comprehensive oral evaluation - new or established patient 1,001 956 $28K
D0140 Limited oral evaluation - problem focused 715 676 $22K
D0220 Intraoral - periapical first radiographic image 2,507 2,282 $21K
D0210 Intraoral - complete series of radiographic images 290 179 $13K
D0230 Intraoral - periapical each additional radiographic image 2,069 1,182 $13K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 123 81 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 179 112 $8K
D2950 55 26 $5K
D1208 Topical application of fluoride, excluding varnish 272 260 $4K
D1351 Sealant - per tooth 216 66 $3K
D0272 Bitewings - two radiographic images 67 65 $1K