Stonehaven Dental - Spanish Fork, LLC
Stonehaven Dental - Spanish Fork, LLC was paid $25K by Medicaid between Jan 2018 and Oct 2021, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 90% of everything it billed.
SPANISH FORK, UT 84660
Next to other Dental Clinic/Center 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 | 809 | $11K | |
| 2019 | 184 | $3K | |
| 2020 | 230 | $6K | |
| 2021 | 287 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 90% | 161 | 156 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 12 | 12 | $995.24 |
| D1206 | Topical application of fluoride varnish | 2.4% | 146 | 138 | $599.17 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 473 | 222 | $345.79 |
| D0274 | Bitewings - four radiographic images | <1% | 266 | 254 | $195.57 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 332 | 301 | $153.09 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 120 | 115 | $105.85 |
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.