STONEHAVEN DENTAL - SPANISH FORK, LLC
NPI: 1922411321
· SPANISH FORK, UT 84660
· Dental Clinic/Center
· NPI assigned 06/04/2014
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more
Provider Details
| Authorized Official | REIBEL, JEFF (CFO) |
| NPI Enumeration Date | 06/04/2014 |
Related Entities
Other providers sharing the same authorized official: REIBEL, JEFF
| Provider | City | State | Total Paid |
|---|
| ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC |
LUBBOCK |
TX |
$6.30M |
| ABBEVILLE FAMILY DENTISTRY |
LUBBOCK |
TX |
$4.42M |
| KIDS DENTISTREE OF KY LLC |
LOUISVILLE |
KY |
$3.20M |
| KIDS DENTISTREE OF IN, LLC |
NEW ALBANY |
IN |
$3.20M |
| KIDS DENTISTREE OF IN, LLC |
AVON |
IN |
$2.68M |
| ORAL SURGERY GROUP OF FRANKFORT, PLLC |
FRANKFORT |
KY |
$2.66M |
| SPECIALIZED DENTAL SERVICES.PLLC |
LOUISVILLE |
KY |
$2.29M |
| KIDS DENTISTREE OF IN, LLC |
SCOTTSBURG |
IN |
$2.24M |
| MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC |
FRANKFORT |
KY |
$1.74M |
| MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC |
INDEPENDENCE |
KY |
$1.39M |
| MFDC OF INDIANA, INC |
SCOTTSBURG |
IN |
$984K |
| MFDC OF INDIANA, INC |
INDIANAPOLIS |
IN |
$959K |
| MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC |
BARDSTOWN |
KY |
$796K |
| MORTENSON FAMILY DENTAL - SEYMOUR, LLC |
SEYMOUR |
IN |
$788K |
| MFDC OF KY LLC |
DRY RIDGE |
KY |
$679K |
| MFDC OF INDIANA, INC |
AVON |
IN |
$648K |
| ABBEVILLE DENTISTRY - LEVELLAND PLLC |
LEVELLAND |
TX |
$593K |
| MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC |
MAINEVILLE |
OH |
$482K |
| KIDS DENTISTREE OF KY LLC |
GEORGETOWN |
KY |
$469K |
| MFDC OF INDIANA, INC |
GREENWOOD |
IN |
$443K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
809 |
$11K |
| 2019 |
184 |
$3K |
| 2020 |
230 |
$6K |
| 2021 |
287 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
161 |
156 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$995.24 |
| D1206 |
Topical application of fluoride varnish |
146 |
138 |
$599.17 |
| D0230 |
Intraoral - periapical each additional radiographic image |
473 |
222 |
$345.79 |
| D0274 |
Bitewings - four radiographic images |
266 |
254 |
$195.57 |
| D0220 |
Intraoral - periapical first radiographic image |
332 |
301 |
$153.09 |
| D1120 |
Prophylaxis - child |
120 |
115 |
$105.85 |