Mortenson, Mark

Mortenson, Mark was paid $54K by Medicaid between Dec 2020 and Nov 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.

33Billing provider infoMORTENSON, MARK
SHEPHERDSVILLE, KY 40165

33aNPI1811228307assigned 01/22/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$54K

24GClaims1,908

24DCodes billed10

24AFirst – last monthDec 2020 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Kentucky

Rank by total paid#297 of 462

Median peer was paid$106K

This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	91	$3K
2021	1,817	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	21%	268	265	$11K
D1120	Dental cleaning, childProphylaxis - child	18%	215	214	$10K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	150	86	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	426	423	$8K
D1206	Topical application of fluoride varnish	12%	441	439	$6K
D0274	Bitewings - four radiographic images	10%	209	207	$5K
D0330	Panoramic radiographic image	4.1%	62	62	$2K
D0150	Comprehensive oral evaluation - new or established patient	2.4%	57	57	$1K
D0220	Intraoral - periapical first radiographic image	<1%	48	48	$449.04
D0230	Intraoral - periapical each additional radiographic image	<1%	32	15	$214.92

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.