MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC
NPI: 1760920805
· INDEPENDENCE, KY 41051
· 1223G0001X
$1.39M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,480 |
$128K |
| 2019 |
8,278 |
$235K |
| 2020 |
3,946 |
$107K |
| 2021 |
1,171 |
$28K |
| 2022 |
6,950 |
$189K |
| 2023 |
9,964 |
$412K |
| 2024 |
7,098 |
$287K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
3,052 |
1,666 |
$184K |
| D1110 |
|
3,446 |
3,258 |
$165K |
| D1120 |
|
2,939 |
2,868 |
$150K |
| D0150 |
|
4,482 |
4,184 |
$129K |
| D0120 |
|
3,340 |
3,251 |
$84K |
| D2391 |
|
1,824 |
1,094 |
$83K |
| D0210 |
|
1,252 |
1,119 |
$82K |
| D0274 |
|
2,780 |
2,596 |
$78K |
| D0330 |
|
2,031 |
1,889 |
$76K |
| D2393 |
|
970 |
597 |
$63K |
| D1206 |
|
3,135 |
3,043 |
$52K |
| D7140 |
|
669 |
231 |
$47K |
| D0220 |
|
3,794 |
3,445 |
$33K |
| D4341 |
|
276 |
108 |
$26K |
| D0140 |
|
675 |
618 |
$24K |
| D0230 |
|
3,805 |
2,690 |
$24K |
| D1208 |
|
1,654 |
1,603 |
$23K |
| D0272 |
|
828 |
810 |
$15K |
| D1351 |
|
555 |
129 |
$11K |
| D2740 |
|
21 |
15 |
$10K |
| D2332 |
|
100 |
70 |
$8K |
| D2331 |
|
87 |
53 |
$5K |
| D4910 |
|
54 |
52 |
$5K |
| D2394 |
|
58 |
39 |
$4K |
| D2335 |
|
43 |
24 |
$4K |
| D9230 |
|
17 |
13 |
$598.55 |