PALM DENTAL CENTER, PA

NPI: 1043323587 · HIALEAH, FL 33016 · Endodontist · NPI assigned 08/17/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official GOMEZ, STEPHANIE controls 20+ related entities in our dataset. Read more

$1.27M

Total Medicaid Paid

15,129

Total Claims

11,218

Beneficiaries

Codes Billed

2018-10

First Month

2024-12

Last Month

Provider Details

Authorized Official	GOMEZ, STEPHANIE (PROVIDER RELATIONS)
NPI Enumeration Date	08/17/2006

Other providers sharing the same authorized official: GOMEZ, STEPHANIE

Provider	City	State	Total Paid
DENTISTRY FOR CHILDREN PC	YONKERS	NY	$4.59M
MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES, PLLC	MIAMI LAKES	FL	$2.59M
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CLERMONT, PLLC	CLERMONT	FL	$2.38M
DENTAL CENTER AT FOREST HILL, PA	WEST PALM BEACH	FL	$2.29M
MAIN STREET CHILDREN'S DENTISTRY & ORTHODONTICS OF PALMETTO BAY, PA	PALMETTO BAY	FL	$2.22M
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CAPE CORAL, P.A.	CAPE CORAL	FL	$2.21M
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF HOMESTEAD, P.A.	HOMESTEAD	FL	$2.10M
MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC	ORLANDO	FL	$1.82M
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF FT. MYERS, P.A.	FORT MYERS	FL	$1.80M
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WINTER PARK, PA	WINTER PARK	FL	$1.68M
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF ORANGE CITY, P.A.	ORANGE CITY	FL	$1.58M
DENTAL SPECIALTY CENTER OF FT. MYERS, PA	FORT MYERS	FL	$1.40M
MAIN STREET CHILDREN'S DENTISTRY & ORTHODONTICS OF NAPLES, PA	NAPLES	FL	$1.16M
MAIN STREET CHILDREN'S DENTISTRY OF AVENTURA, PA	AVENTURA	FL	$1.06M
TDG DENTAL GROUP PLLC	WOODBRIDGE	VA	$1.01M
DENTAL CENTER AT BAPTIST, PA	MIAMI	FL	$851K
SUNRISE DENTAL GROUP P.A.	PLANTATION	FL	$833K
MAIN STREET CHILDREN'S DENTISTRY OF JUPITER, PA	JUPITER	FL	$824K
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF SOUTH BROWARD, PA	COOPER CITY	FL	$717K
CHILDREN'S DENTAL CENTER OF KENDALL, PA	MIAMI	FL	$601K

Code	Description	Claims	Beneficiaries	Total Paid
D9243		1,302	1,041	$568K
D0140	Limited oral evaluation - problem focused	3,654	3,307	$177K
D7240	Removal of impacted tooth - completely bony	1,850	657	$165K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	228	205	$162K
D7230		1,830	675	$116K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	884	458	$39K
D9239		1,123	1,036	$23K
D0330	Panoramic radiographic image	2,075	1,839	$13K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	585	527	$3K
D9610		837	782	$2K
D0220	Intraoral - periapical first radiographic image	663	603	$2K
D0460		14	14	$0.00
D3911		28	25	$0.00
D0230	Intraoral - periapical each additional radiographic image	44	37	$0.00
D9612		12	12	$0.00