STONY CREEK DENTISTRY
NPI: 1528291960
· NOBLESVILLE, IN 46060
· General Practice Dentistry
· NPI assigned 09/02/2009
Provider Details
| Authorized Official | RATLIFF, TONY (PRESIDENT) |
| NPI Enumeration Date | 09/02/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
103 |
$202.46 |
| 2019 |
67 |
$2K |
| 2020 |
24 |
$836.01 |
| 2021 |
86 |
$3K |
| 2022 |
198 |
$6K |
| 2023 |
224 |
$7K |
| 2024 |
90 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
314 |
305 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
344 |
335 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
94 |
90 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$394.54 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
28 |
12 |
$0.00 |