Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mortenson Family Dental Center - Shelbyville PLLC

Mortenson Family Dental Center - Shelbyville PLLC was paid $531K by Medicaid between Jan 2018 and May 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.

33Billing provider infoMORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC
SHELBYVILLE, KY 40065
33aNPI1952312118assigned 08/11/2006
33bProvider typeDental Clinic/Center
28Total paid$531K
24GClaims16,739
24DCodes billed19
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Dental Clinic/Center providers in Kentucky

Rank by total paid#20 of 50
Median peer was paid$353K
This provider vs. median1.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JAMES, STEPHEN controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20183,847$113K
20193,193$92K
20203,183$86K
2021747$24K
2022908$26K
20233,381$138K
2024incomplete1,480$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 1,238 675 $81K
D1110 Prophylaxis - adult 15% 1,642 1,608 $78K
D1120 Dental cleaning, childProphylaxis - child 12% 1,163 1,131 $62K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 2,209 2,153 $56K
D0274 Bitewings - four radiographic images 8.0% 1,518 1,461 $43K
D0330 Panoramic radiographic image 7.6% 980 963 $40K
D0150 Comprehensive oral evaluation - new or established patient 6.0% 1,222 1,181 $32K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 5.1% 363 230 $27K
D0140 Limited oral evaluation - problem focused 4.1% 671 657 $22K
D1206 Topical application of fluoride varnish 3.8% 1,068 1,052 $20K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.3% 286 198 $17K
D0220 Intraoral - periapical first radiographic image 3.1% 1,765 1,678 $16K
7 more codes
D1208 Topical application of fluoride, excluding varnish 2.1% 745 $11K
D0230 Intraoral - periapical each additional radiographic image 1.8% 1,289 $9K
D1351 Sealant - per tooth 1.3% 330 $7K
D0210 Intraoral - complete series of radiographic images 1.1% 118 $6K
D2335 <1% 21 $2K
D0272 Bitewings - two radiographic images <1% 95 $2K
D9986 0% 16 $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 officialJAMES, STEPHEN (CFO)
Same official

Other billing entities under JAMES, STEPHEN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.