Stonehaven Dental - Midvale, LLC
Stonehaven Dental - Midvale, LLC was paid $15K by Medicaid between Mar 2018 and Sep 2020, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 59% of everything it billed.
MIDVALE, UT 84047
Next to other General Practice Dentistry providers in Utah
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12 | $1K | |
| 2019 | 28 | $3K | |
| 2020 | 262 | $11K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 59% | 52 | 52 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 34 | 12 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 14 | 14 | $2K |
| D0274 | Bitewings - four radiographic images | 1.1% | 19 | 19 | $166.68 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 34 | 12 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 32 | 32 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 15 | 15 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 37 | 37 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 51 | 20 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 14 | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.