Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mortenson Family Dental Center - Versailles, PLLC

Mortenson Family Dental Center - Versailles, PLLC was paid $793K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.

33Billing provider infoMORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC
VERSAILLES, KY 40383
33aNPI1740692938assigned 05/22/2014
33bProvider typeDental Clinic/Center
28Total paid$793K
24GClaims28,696
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Dental Clinic/Center providers in Kentucky

Rank by total paid#14 of 50
Median peer was paid$353K
This provider vs. median2.2×

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.

Entity ProliferationAuthorized official JAMES, STEVE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20188,874$270K
20198,878$236K
20207,116$181K
2021562$12K
20221,468$34K
2023785$25K
2024incomplete1,013$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 2,117 1,030 $122K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 10.0% 3,425 3,334 $79K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 10.0% 1,190 597 $79K
D1110 Prophylaxis - adult 9.5% 1,783 1,747 $75K
D1120 Dental cleaning, childProphylaxis - child 9.1% 1,650 1,610 $72K
D0274 Bitewings - four radiographic images 7.3% 2,134 2,080 $58K
D0150 Comprehensive oral evaluation - new or established patient 5.6% 1,694 1,641 $44K
D0220 Intraoral - periapical first radiographic image 4.3% 3,694 3,516 $34K
D1206 Topical application of fluoride varnish 4.3% 2,437 2,379 $34K
D7140 Extraction, erupted tooth or exposed root 3.7% 751 434 $30K
D0140 Limited oral evaluation - problem focused 2.8% 767 734 $22K
D1351 Sealant - per tooth 2.7% 1,262 279 $22K
14 more codes
D0230 Intraoral - periapical each additional radiographic image 2.7% 3,157 $21K
D0330 Panoramic radiographic image 2.7% 580 $21K
D0210 Intraoral - complete series of radiographic images 2.6% 356 $21K
D2394 2.1% 210 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.0% 365 $16K
D2332 <1% 59 $4K
D2335 <1% 50 $4K
D4910 <1% 56 $4K
D4341 <1% 38 $3K
D0272 Bitewings - two radiographic images <1% 142 $2K
D1208 Topical application of fluoride, excluding varnish <1% 125 $2K
D9986 <1% 592 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 42 $1K
D2331 <1% 20 $954.38

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, STEVE (CFO)
Same official

Other billing entities under JAMES, STEVE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.