MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC
NPI: 1740692938
· VERSAILLES, KY 40383
· 261QD0000X
$793K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,874 |
$270K |
| 2019 |
8,878 |
$236K |
| 2020 |
7,116 |
$181K |
| 2021 |
562 |
$12K |
| 2022 |
1,468 |
$34K |
| 2023 |
785 |
$25K |
| 2024 |
1,013 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,117 |
1,030 |
$122K |
| D0120 |
|
3,425 |
3,334 |
$79K |
| D2393 |
|
1,190 |
597 |
$79K |
| D1110 |
|
1,783 |
1,747 |
$75K |
| D1120 |
|
1,650 |
1,610 |
$72K |
| D0274 |
|
2,134 |
2,080 |
$58K |
| D0150 |
|
1,694 |
1,641 |
$44K |
| D0220 |
|
3,694 |
3,516 |
$34K |
| D1206 |
|
2,437 |
2,379 |
$34K |
| D7140 |
|
751 |
434 |
$30K |
| D0140 |
|
767 |
734 |
$22K |
| D1351 |
|
1,262 |
279 |
$22K |
| D0230 |
|
3,157 |
2,578 |
$21K |
| D0330 |
|
580 |
569 |
$21K |
| D0210 |
|
356 |
342 |
$21K |
| D2394 |
|
210 |
144 |
$17K |
| D2391 |
|
365 |
237 |
$16K |
| D2332 |
|
59 |
39 |
$4K |
| D2335 |
|
50 |
28 |
$4K |
| D4910 |
|
56 |
54 |
$4K |
| D4341 |
|
38 |
12 |
$3K |
| D0272 |
|
142 |
134 |
$2K |
| D1208 |
|
125 |
122 |
$2K |
| D9986 |
|
592 |
481 |
$2K |
| D9230 |
|
42 |
36 |
$1K |
| D2331 |
|
20 |
13 |
$954.38 |