Dental
Stone, Mona
Stone, Mona was paid $485K by Medicaid between Feb 2024 and Dec 2024, across 9 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 43% of everything it billed.
33Billing provider infoSTONE, MONA
WESTLAKE, TX 76262
WESTLAKE, TX 76262
33aNPI1588985899assigned 06/21/2010
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$485K
24GClaims3,063
24DCodes billed9
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Texas
Rank by total paid#43 of 102
Median peer was paid$338K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2024incomplete | 3,063 | $485K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 43% | 1,596 | 462 | $207K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 30% | 530 | 470 | $148K |
| D7240 | Removal of impacted tooth - completely bony | 12% | 180 | 102 | $60K |
| D9222 | 12% | 472 | 469 | $56K | |
| D0330 | Panoramic radiographic image | 1.0% | 145 | 144 | $5K |
| D7230 | <1% | 23 | 16 | $5K | |
| D7310 | <1% | 70 | 38 | $3K | |
| D7510 | <1% | 35 | 33 | $807.50 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $240.00 |
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.