Stony Creek Dentistry

Stony Creek Dentistry was paid $23K by Medicaid between Jun 2018 and Oct 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 61% of everything it billed.

33Billing provider infoSTONY CREEK DENTISTRY
NOBLESVILLE, IN 46060

33aNPI1528291960assigned 09/02/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$23K

24GClaims792

24DCodes billed5

24AFirst – last monthJun 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#452 of 723

Median peer was paid$60K

This provider vs. median0.4×

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	103	$202.46
2019	67	$2K
2020	24	$836.01
2021	86	$3K
2022	198	$6K
2023	224	$7K
2024incomplete	90	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	61%	314	305	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	344	335	$7K
D1208	Topical application of fluoride, excluding varnish	6.4%	94	90	$1K
D0274	Bitewings - four radiographic images	1.7%	12	12	$394.54
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	0%	28	12	$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 officialRATLIFF, TONY (PRESIDENT)