Clinic
Mortenson Family Dental
Mortenson Family Dental was paid $2.80M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoMORTENSON FAMILY DENTAL
LOUISVILLE, KY 40214
LOUISVILLE, KY 40214
33aNPI1881706547assigned 08/31/2006
33bProvider typeDental Clinic/Center
28Total paid$2.80M
24GClaims77,224
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Kentucky
Rank by total paid#5 of 50
Median peer was paid$353K
This provider vs. median7.9×
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 | |
|---|---|---|---|
| 2018 | 12,339 | $377K | |
| 2019 | 11,959 | $385K | |
| 2020 | 9,023 | $272K | |
| 2021 | 497 | $13K | |
| 2022 | 11,129 | $340K | |
| 2023 | 17,599 | $708K | |
| 2024incomplete | 14,678 | $700K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 5,510 | 2,943 | $378K |
| D1110 | Prophylaxis - adult | 11% | 6,429 | 6,248 | $306K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.4% | 3,365 | 1,857 | $262K |
| D0330 | Panoramic radiographic image | 8.8% | 5,172 | 5,047 | $247K |
| D1351 | Sealant - per tooth | 7.8% | 7,461 | 1,139 | $217K |
| D0274 | Bitewings - four radiographic images | 6.6% | 6,885 | 6,697 | $185K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 3,014 | 2,961 | $175K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 6,663 | 6,487 | $162K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 4,969 | 4,848 | $149K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 4.6% | 232 | 214 | $128K |
| D2394 | 3.2% | 1,083 | 764 | $90K | |
| D1206 | Topical application of fluoride varnish | 3.0% | 4,162 | 4,080 | $83K |
13 more codes
| D2740 | Crown - porcelain/ceramic | 2.8% | 160 | $78K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 9,765 | $77K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.7% | 1,114 | $74K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 6,546 | $59K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 1,199 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 2,299 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 337 | $19K |
| D4341 | <1% | 237 | $15K | |
| D0272 | Bitewings - two radiographic images | <1% | 464 | $8K |
| D2950 | <1% | 14 | $2K | |
| D2940 | <1% | 39 | $507.51 | |
| D0431 | <1% | 17 | $160.00 | |
| D9986 | 0% | 88 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialMORTENSON, OWEN (GEN DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mortenson Family Dental | Lagrange, KY | $2.84M |
| Mortenson Family Dental | Shepherdsville, KY | $2.18M |
| Mortenson Family Dental Center-Corydon,pllc | Corydon, IN | $1.67M |
| Mortenson Family Dental Ctr-Jeffersonville | Jeffersonville, IN | $1.07M |
| Mortenson Family Dental | Louisville, KY | $604K |
| Mortenson Family Dental | Louisville, KY | $143K |
| Mortenson Family Dental | New Albany, IN | $112K |
| Mortenson Family Dental Center-Florence,pllc | Florence, KY | $110K |
| .Mortenson Family Dental Center | Louisville, KY | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.