Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS OF MIAMI BEACH PLLC

NPI: 1023427523 · MIAMI BEACH, FL 33140 · Dentist · NPI assigned 08/08/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more

$687K
Total Medicaid Paid
60,137
Total Claims
44,675
Beneficiaries
20
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOLE, MIKE (VP INSURANCE PLAN MANAGEMENT)
NPI Enumeration Date08/08/2014

Related Entities

Other providers sharing the same authorized official: COLE, MIKE

ProviderCityStateTotal Paid
GENTLE DENTAL GRATIOT AVE PLLC DETROIT MI $4.52M
PDOM ELKTON ELKTON MD $4.44M
PDOM HAVRE DE GRACE HAVRE DE GRACE MD $4.29M
DENTAL CENTER OF GOSHEN PLLC GOSHEN IN $3.23M
GENTLE DENTAL GRAND RIVER PLLC DETROIT MI $2.49M
PEDIATRIC DENTISTRY AND ORTHODONTICS OF MARYLAND LLC GLEN BURNIE MD $1.99M
GENTLE DENTAL WESTLAND PLLC WESTLAND MI $1.60M
KONIKOFF DENTAL ASSOCIATES, INC. VIRGINIA BEACH VA $1.34M
DENTAL CARE ALLIANCE LLC SARASOTA FL $838K
GENTLE DENTAL SHORES PLLC SAINT CLAIR SHORES MI $754K
FAMILY DENTAL GROUP ASSOCIATES PLLC FLINT MI $703K
GENTLE DENTAL WARREN PLLC WARREN MI $559K
GENTLE DENTAL BAY PLLC NEW BALTIMORE MI $305K
GENTLE DENTAL THORNDALE LLC THORNDALE PA $237K
GENTLE DENTAL SHELBY PLLC SHELBY TOWNSHIP MI $150K
WESTLAND- WAYNE P.C. WESTLAND MI $70K
DETROIT - GRATIOT P.C. DETROIT MI $24K
DENTAL ONE ASSOCIATES (WESTMINSTER) PC WESTMINSTER MD $7K
DENTAL ONE ASSOCIATES WOODBRIDGE PC WOODBRIDGE VA $3K
GERMANTOWN DENTAL ASSOCIATES PHILADELPHIA PA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,765 $76K
2021 1,298 $19K
2022 23,117 $126K
2023 16,476 $281K
2024 15,481 $185K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 7,792 6,564 $258K
D1110 Prophylaxis - adult 2,088 1,762 $96K
D0120 Periodic oral evaluation - established patient 8,370 6,964 $68K
D0150 Comprehensive oral evaluation - new or established patient 1,323 1,168 $61K
D0330 Panoramic radiographic image 660 552 $41K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 667 388 $38K
D0230 Intraoral - periapical each additional radiographic image 4,953 2,227 $37K
D1351 Sealant - per tooth 5,807 1,296 $26K
D1208 Topical application of fluoride, excluding varnish 9,583 8,061 $20K
D0210 Intraoral - complete series of radiographic images 87 83 $10K
D0272 Bitewings - two radiographic images 5,467 4,449 $9K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 811 704 $7K
D1330 8,147 7,009 $6K
D0220 Intraoral - periapical first radiographic image 3,391 2,655 $4K
D7140 Extraction, erupted tooth or exposed root 80 39 $3K
D0140 Limited oral evaluation - problem focused 91 79 $1K
D9999 Unspecified adjunctive procedure, by report 27 27 $615.00
D3120 31 24 $498.40
D0274 Bitewings - four radiographic images 655 563 $456.17
D1206 Topical application of fluoride varnish 107 61 $0.00