Supplier
Rose Rock Family Dentistry PLLC
Rose Rock Family Dentistry PLLC was paid $405.96 by Medicaid between Jul 2018 and Jul 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 58% of everything it billed.
33Billing provider infoROSE ROCK FAMILY DENTISTRY PLLC
STILLWATER, OK 74074
STILLWATER, OK 74074
33aNPI1235514183assigned 07/21/2015
33bProvider typeCustomized Equipment (DME)
28Total paid$405.96
24GClaims24
24DCodes billed2
24AFirst – last monthJul 2018 – Jul 2018
Compared with peers
Next to other Customized Equipment (DME) providers in Oklahoma
Rank by total paid#21 of 21
Median peer was paid$377K
This provider vs. median0.0×
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 | 24 | $405.96 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 58% | 12 | 12 | $236.88 |
| D1208 | Topical application of fluoride, excluding varnish | 42% | 12 | 12 | $169.08 |
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 officialBASSETT, SARA (OWNER/MANAGER)