MORTENSON FAMILY DENTAL CENTER-LEBANON JUNCTION, PLLC

NPI: 1881969533 · LEBANON JUNCTION, KY 40150 · Dental Clinic/Center · NPI assigned 03/14/2012

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JAMES, STEVE controls 20+ related entities in our dataset. Read more

$282K

Total Medicaid Paid

9,199

Total Claims

7,644

Beneficiaries

Codes Billed

2018-01

First Month

2020-03

Last Month

Provider Details

Authorized Official	JAMES, STEVE (CFO)
NPI Enumeration Date	03/14/2012

Other providers sharing the same authorized official: JAMES, STEVE

Provider	City	State	Total Paid
KIDS DENTISTRY-JEFFERSON MALL,PLLC	LOUISVILLE	KY	$9.77M
KIDS DENTISTRY-JEFFERSONVILLE, LLC	JEFFERSONVILLE	IN	$6.37M
KIDS DENTISTRY-NEW ALBANY	NEW ALBANY	IN	$4.61M
KIDS DENTISTREE - WESTPORT VILLAGE	LOUISVILLE	KY	$4.19M
MORTENSON FAMILY DENTAL CENTER-VALLEY STATION	LOUISVILLE	KY	$3.06M
ORAL SURGERY GROUP OF SOUTHERN INDIANA, LLC	NEW ALBANY	IN	$1.99M
SUMMIT DENTAL HEALTH - E STREET LLC	OMAHA	NE	$1.99M
SUMMIT DENTAL HEALTH - BRENTWOOD LLC	LA VISTA	NE	$1.79M
MORTENSON FAMILY DENTAL CENTER-FOREST GREEN, PLLC	LOUISVILLE	KY	$1.77M
SUMMIT DENTAL HEALTH - DUNDEE LLC	OMAHA	NE	$1.71M
SUMMIT DENTAL HEALTH - TOWNE LLC	BELLEVUE	NE	$1.60M
SUMMIT DENTAL HEALTH - CENTER LLC	OMAHA	NE	$1.28M
SUMMIT DENTAL HEALTH - OAKVIEW, LLC	OMAHA	NE	$1.21M
MORTENSON FAMILY DENTAL CENTER	LOUISVILLE	KY	$1.10M
MORTENSON FAMILY DENTAL CENTER - VERSAILLES, PLLC	VERSAILLES	KY	$793K
MORTENSON FAMILY DENTAL CENTER	CRESTWOOD	KY	$631K
MORTENSONFAMILYDENTALCENTER-BUECHEL, PLLC	LOUISVILLE	KY	$554K
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC	ELIZABETHTOWN	KY	$546K
SUMMIT DENTAL HEALTH - OLD MARKET LLC	OMAHA	NE	$543K
CHILDREN'S DENTAL CENTER OF BIG SPRING, PLLC	BIG SPRING	TX	$481K

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	709	397	$41K
D1110	Prophylaxis - adult	956	920	$37K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	548	328	$36K
D0330	Panoramic radiographic image	760	726	$27K
D7140	Extraction, erupted tooth or exposed root	675	261	$26K
D0150	Comprehensive oral evaluation - new or established patient	940	888	$23K
D0274	Bitewings - four radiographic images	909	861	$19K
D0140	Limited oral evaluation - problem focused	593	559	$18K
D1120	Prophylaxis - child	289	277	$13K
D0120	Periodic oral evaluation - established patient	624	603	$11K
D0220	Intraoral - periapical first radiographic image	930	836	$7K
D2391	Resin-based composite - one surface, posterior, primary or permanent	130	90	$6K
D1208	Topical application of fluoride, excluding varnish	238	229	$3K
D4341		41	17	$3K
D1206	Topical application of fluoride varnish	206	195	$3K
D2394		33	24	$3K
D0230	Intraoral - periapical each additional radiographic image	578	407	$3K
D2335		21	13	$2K
D2332		19	13	$1K