MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC

NPI: 1750604450 · FRANKFORT, KY 40601 · Dental Clinic/Center · NPI assigned 03/09/2010

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$1.74M

Total Medicaid Paid

48,692

Total Claims

39,927

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	REIBEL, JEFF (CFO)
NPI Enumeration Date	03/09/2010

Other providers sharing the same authorized official: REIBEL, JEFF

Provider	City	State	Total Paid
ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC	LUBBOCK	TX	$6.30M
ABBEVILLE FAMILY DENTISTRY	LUBBOCK	TX	$4.42M
KIDS DENTISTREE OF KY LLC	LOUISVILLE	KY	$3.20M
KIDS DENTISTREE OF IN, LLC	NEW ALBANY	IN	$3.20M
KIDS DENTISTREE OF IN, LLC	AVON	IN	$2.68M
ORAL SURGERY GROUP OF FRANKFORT, PLLC	FRANKFORT	KY	$2.66M
SPECIALIZED DENTAL SERVICES.PLLC	LOUISVILLE	KY	$2.29M
KIDS DENTISTREE OF IN, LLC	SCOTTSBURG	IN	$2.24M
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC	INDEPENDENCE	KY	$1.39M
MFDC OF INDIANA, INC	SCOTTSBURG	IN	$984K
MFDC OF INDIANA, INC	INDIANAPOLIS	IN	$959K
MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC	BARDSTOWN	KY	$796K
MORTENSON FAMILY DENTAL - SEYMOUR, LLC	SEYMOUR	IN	$788K
MFDC OF KY LLC	DRY RIDGE	KY	$679K
MFDC OF INDIANA, INC	AVON	IN	$648K
ABBEVILLE DENTISTRY - LEVELLAND PLLC	LEVELLAND	TX	$593K
MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC	MAINEVILLE	OH	$482K
KIDS DENTISTREE OF KY LLC	GEORGETOWN	KY	$469K
MFDC OF INDIANA, INC	GREENWOOD	IN	$443K
MFDC OF INDIANA, INC	GREENSBURG	IN	$378K

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5,230	2,326	$327K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2,801	1,504	$202K
D1110	Prophylaxis - adult	3,850	3,718	$181K
D1120	Prophylaxis - child	3,469	3,376	$170K
D0150	Comprehensive oral evaluation - new or established patient	6,050	5,825	$157K
D0330	Panoramic radiographic image	2,849	2,761	$116K
D0274	Bitewings - four radiographic images	3,750	3,631	$101K
D0120	Periodic oral evaluation - established patient	3,064	3,009	$75K
D1351	Sealant - per tooth	3,262	842	$64K
D2394		663	406	$56K
D1206	Topical application of fluoride varnish	3,396	3,351	$55K
D0210	Intraoral - complete series of radiographic images	882	799	$52K
D0140	Limited oral evaluation - problem focused	1,658	1,586	$52K
D1208	Topical application of fluoride, excluding varnish	2,284	2,176	$33K
D2391	Resin-based composite - one surface, posterior, primary or permanent	726	448	$33K
D0220	Intraoral - periapical first radiographic image	2,720	2,604	$24K
D0272	Bitewings - two radiographic images	723	691	$12K
D2740	Crown - porcelain/ceramic	17	13	$11K
D0230	Intraoral - periapical each additional radiographic image	838	609	$6K
D2335		73	27	$5K
D2332		70	42	$5K
D4341		42	12	$2K
D7140	Extraction, erupted tooth or exposed root	79	12	$2K
D2950		18	14	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	12	12	$473.85
D0431		28	28	$250.00
D9986		116	90	$9.45
D3120		22	15	$0.00