Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › VERSAILLES › MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC

MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC

NPI: 1740692938 · VERSAILLES, KY 40383 · Dental Clinic/Center · NPI assigned 05/22/2014

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

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

$793K
Total Medicaid Paid
28,696
Total Claims
24,170
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJAMES, STEVE (CFO)
NPI Enumeration Date05/22/2014

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 CRESTWOOD KY $631K
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 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

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,117 1,030 $122K
D0120 Periodic oral evaluation - established patient 3,425 3,334 $79K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,190 597 $79K
D1110 Prophylaxis - adult 1,783 1,747 $75K
D1120 Prophylaxis - child 1,650 1,610 $72K
D0274 Bitewings - four radiographic images 2,134 2,080 $58K
D0150 Comprehensive oral evaluation - new or established patient 1,694 1,641 $44K
D0220 Intraoral - periapical first radiographic image 3,694 3,516 $34K
D1206 Topical application of fluoride varnish 2,437 2,379 $34K
D7140 Extraction, erupted tooth or exposed root 751 434 $30K
D0140 Limited oral evaluation - problem focused 767 734 $22K
D1351 Sealant - per tooth 1,262 279 $22K
D0230 Intraoral - periapical each additional radiographic image 3,157 2,578 $21K
D0330 Panoramic radiographic image 580 569 $21K
D0210 Intraoral - complete series of radiographic images 356 342 $21K
D2394 210 144 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent 365 237 $16K
D2332 59 39 $4K
D2335 50 28 $4K
D4910 56 54 $4K
D4341 38 12 $3K
D0272 Bitewings - two radiographic images 142 134 $2K
D1208 Topical application of fluoride, excluding varnish 125 122 $2K
D9986 592 481 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 42 36 $1K
D2331 20 13 $954.38