Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KIDS DENTISTREE - CORYDON LLC

NPI: 1922530419 · CORYDON, IN 47112 · Dentist · NPI assigned 04/03/2017

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

Authorized official JAMES, STEPHEN controls 18+ related entities in our dataset. Read more

$3.88M
Total Medicaid Paid
122,061
Total Claims
90,589
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, STEPHEN (CFO)
NPI Enumeration Date04/03/2017

Related Entities

Other providers sharing the same authorized official: JAMES, STEPHEN

ProviderCityStateTotal Paid
KIDS DENTISTREE - SHEPHERDSVILLE, PLLC SHEPHERDSVILLE KY $4.40M
ABBEVILLE DENTISTRY - BROWNWOOD PLLC BROWNWOOD TX $2.02M
ABBEVILLE DENTISTRY - ABILENE PLLC ABILENE TX $1.70M
MORTENSON FAMILY DENTAL CENTER - DIXIE AT ROCKFORD LANE, PLLC LOUISVILLE KY $1.66M
MORTENSON FAMILY DENTAL CENTER - LAWRENCEBURG LLC LAWRENCEBURG IN $1.18M
MORTENSON FAMILY DENTAL CENTER- CARROLLTON PLLC CARROLLTON KY $654K
MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC SHELBYVILLE KY $531K
MORTENSON FAMILY DENTAL CENTER - LANDEN LLC MAINEVILLE OH $389K
ENGILMAN ORTHODONTICS - JEFFERSON LOUISVILLE KY $372K
MORTENSON FAMILY DENTAL CENTER HILLIVIEW-OKOLONA PLLC LOUISVILLE KY $353K
ENGILMAN ORTHODONTICS-JEFFERSONVILLE, LLC JEFFERSONVILLE IN $296K
KIDS DENTISTREE OF KY, LLC LOUISVILLE KY $199K
MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC CLARKSVILLE IN $177K
MORTENSON FAMILY DENTAL CENTER - JEFFERSONTOWN CENTRAL, PLLC LOUISVILLE KY $87K
ENGILMAN ORTHODONTICS PLLC LOUISVILLE KY $57K
ENGILMAN ORTHODONTICS - LAGRANGE LA GRANGE KY $55K
ENGILMAN ORTHODONTICS - SHELBYVILLE SHELBYVILLE KY $38K
STONEHAVEN DENTAL - MIDVALE, LLC MIDVALE UT $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,935 $45K
2019 13,666 $427K
2020 11,877 $367K
2021 17,644 $613K
2022 20,702 $725K
2023 25,049 $938K
2024 23,188 $768K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1354 11,122 2,823 $737K
D2930 Prefabricated stainless steel crown - primary tooth 4,613 1,764 $581K
D1120 Prophylaxis - child 13,508 12,907 $423K
D1351 Sealant - per tooth 13,251 2,563 $358K
D0120 Periodic oral evaluation - established patient 12,143 11,599 $255K
D0272 Bitewings - two radiographic images 9,818 9,361 $214K
D1208 Topical application of fluoride, excluding varnish 10,555 10,019 $200K
D7140 Extraction, erupted tooth or exposed root 2,161 1,271 $167K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,954 1,442 $160K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4,796 4,217 $125K
D0220 Intraoral - periapical first radiographic image 11,530 10,621 $104K
D0230 Intraoral - periapical each additional radiographic image 11,159 9,533 $104K
D1206 Topical application of fluoride varnish 3,791 3,651 $87K
D0150 Comprehensive oral evaluation - new or established patient 2,400 2,248 $75K
D0210 Intraoral - complete series of radiographic images 1,747 1,132 $67K
D1110 Prophylaxis - adult 1,460 1,361 $65K
D0140 Limited oral evaluation - problem focused 1,337 1,237 $42K
D2391 Resin-based composite - one surface, posterior, primary or permanent 704 498 $38K
D0274 Bitewings - four radiographic images 955 883 $28K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 191 113 $19K
D0145 Oral evaluation for a patient under three years of age 396 383 $13K
D0330 Panoramic radiographic image 256 231 $7K
D9248 366 309 $7K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 63 39 $5K
D0240 785 384 $2K