Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › MIAMI LAKES › MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES, PLLC

MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES, PLLC

NPI: 1043611858 · MIAMI LAKES, FL 33014 · Pediatric Dentist · NPI assigned 09/11/2014

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

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

$2.59M
Total Medicaid Paid
163,293
Total Claims
134,812
Beneficiaries
22
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOMEZ, STEPHANIE (PROVIDER RELATIONS)
NPI Enumeration Date09/11/2014

Related Entities

Other providers sharing the same authorized official: GOMEZ, STEPHANIE

ProviderCityStateTotal Paid
DENTISTRY FOR CHILDREN PC YONKERS NY $4.59M
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
PALM DENTAL CENTER, PA HIALEAH FL $1.27M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 333 $9K
2020 10,198 $215K
2021 4,559 $79K
2022 47,389 $723K
2023 50,977 $957K
2024 49,837 $611K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 17,274 16,601 $703K
D1110 Prophylaxis - adult 6,614 6,345 $389K
D0330 Panoramic radiographic image 2,773 2,739 $276K
D0150 Comprehensive oral evaluation - new or established patient 4,985 4,819 $210K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,114 1,929 $193K
D0120 Periodic oral evaluation - established patient 18,588 17,849 $184K
D0230 Intraoral - periapical each additional radiographic image 11,522 5,273 $182K
D1351 Sealant - per tooth 19,713 4,544 $81K
D7140 Extraction, erupted tooth or exposed root 1,345 862 $75K
D1208 Topical application of fluoride, excluding varnish 23,665 22,721 $57K
D0210 Intraoral - complete series of radiographic images 711 614 $55K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2,718 2,565 $48K
D0140 Limited oral evaluation - problem focused 1,762 1,670 $48K
D2391 Resin-based composite - one surface, posterior, primary or permanent 731 557 $33K
D0272 Bitewings - two radiographic images 15,896 15,376 $25K
D1330 23,730 22,762 $17K
D0220 Intraoral - periapical first radiographic image 7,504 7,141 $10K
D9999 Unspecified adjunctive procedure, by report 171 171 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 44 30 $1K
D3120 277 178 $802.68
D2930 Prefabricated stainless steel crown - primary tooth 17 12 $728.75
D1354 139 54 $651.70