Medicaid Provider Spending

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

MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC

NPI: 1760929103 · MAINEVILLE, OH 45039 · General Practice Dentistry · NPI assigned 01/24/2017

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

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

$482K
Total Medicaid Paid
19,584
Total Claims
15,370
Beneficiaries
20
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialREIBEL, JEFF (CFO)
NPI Enumeration Date01/24/2017

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
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
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 1,132 $26K
2019 5,206 $126K
2020 109 $5K
2021 507 $10K
2022 5,907 $159K
2023 6,723 $156K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 1,100 330 $106K
D1120 Prophylaxis - child 2,949 2,710 $56K
D0150 Comprehensive oral evaluation - new or established patient 1,984 1,852 $51K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 731 495 $37K
D1351 Sealant - per tooth 1,730 526 $35K
D0330 Panoramic radiographic image 814 733 $35K
D1206 Topical application of fluoride varnish 2,322 2,124 $33K
D7140 Extraction, erupted tooth or exposed root 616 295 $33K
D0120 Periodic oral evaluation - established patient 1,200 1,066 $19K
D2391 Resin-based composite - one surface, posterior, primary or permanent 382 275 $19K
D0140 Limited oral evaluation - problem focused 899 804 $17K
D0272 Bitewings - two radiographic images 1,765 1,624 $16K
D1208 Topical application of fluoride, excluding varnish 484 443 $7K
D0220 Intraoral - periapical first radiographic image 1,312 1,151 $6K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 238 202 $5K
D0230 Intraoral - periapical each additional radiographic image 948 649 $4K
D1110 Prophylaxis - adult 58 52 $2K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 23 14 $1K
D0210 Intraoral - complete series of radiographic images 16 13 $538.40
D0270 13 12 $55.00