Medicaid Provider Spending

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

MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC

NPI: 1760920805 · INDEPENDENCE, KY 41051 · General Practice Dentistry · NPI assigned 02/09/2017

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

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

$1.39M
Total Medicaid Paid
41,887
Total Claims
35,465
Beneficiaries
26
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREIBEL, JEFF (CFO)
NPI Enumeration Date02/09/2017

Related Entities

Other providers sharing the same authorized official: REIBEL, JEFF

ProviderCityStateTotal 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-FRANKFORT, PLLC FRANKFORT KY $1.74M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,052 1,666 $184K
D1110 Prophylaxis - adult 3,446 3,258 $165K
D1120 Prophylaxis - child 2,939 2,868 $150K
D0150 Comprehensive oral evaluation - new or established patient 4,482 4,184 $129K
D0120 Periodic oral evaluation - established patient 3,340 3,251 $84K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,824 1,094 $83K
D0210 Intraoral - complete series of radiographic images 1,252 1,119 $82K
D0274 Bitewings - four radiographic images 2,780 2,596 $78K
D0330 Panoramic radiographic image 2,031 1,889 $76K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 970 597 $63K
D1206 Topical application of fluoride varnish 3,135 3,043 $52K
D7140 Extraction, erupted tooth or exposed root 669 231 $47K
D0220 Intraoral - periapical first radiographic image 3,794 3,445 $33K
D4341 276 108 $26K
D0140 Limited oral evaluation - problem focused 675 618 $24K
D0230 Intraoral - periapical each additional radiographic image 3,805 2,690 $24K
D1208 Topical application of fluoride, excluding varnish 1,654 1,603 $23K
D0272 Bitewings - two radiographic images 828 810 $15K
D1351 Sealant - per tooth 555 129 $11K
D2740 Crown - porcelain/ceramic 21 15 $10K
D2332 100 70 $8K
D2331 87 53 $5K
D4910 54 52 $5K
D2394 58 39 $4K
D2335 43 24 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 17 13 $598.55