CHILDREN'S DENTAL CENTER OF KENDALL, PA

NPI: 1053423475 · MIAMI, FL 33156 · Pediatric Dentist · NPI assigned 08/31/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$601K

Total Medicaid Paid

36,643

Total Claims

32,565

Beneficiaries

Codes Billed

2021-04

First Month

2024-12

Last Month

Provider Details

Authorized Official	GOMEZ, STEPHANIE (PROVIDER RELATIONS)
NPI Enumeration Date	08/31/2006

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
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

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	4,024	3,881	$156K
D0150	Comprehensive oral evaluation - new or established patient	1,778	1,707	$78K
D1110	Prophylaxis - adult	1,258	1,201	$75K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	980	622	$62K
D0330	Panoramic radiographic image	541	539	$52K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	288	223	$48K
D7140	Extraction, erupted tooth or exposed root	354	213	$20K
D0140	Limited oral evaluation - problem focused	601	560	$17K
D2391	Resin-based composite - one surface, posterior, primary or permanent	481	303	$17K
D0120	Periodic oral evaluation - established patient	3,597	3,486	$13K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1,220	1,101	$13K
D1208	Topical application of fluoride, excluding varnish	4,405	4,219	$11K
D1351	Sealant - per tooth	2,457	807	$10K
D0272	Bitewings - two radiographic images	2,716	2,636	$5K
D0220	Intraoral - periapical first radiographic image	3,087	2,917	$5K
D1330		4,143	3,967	$4K
D0230	Intraoral - periapical each additional radiographic image	2,501	2,189	$4K
D1206	Topical application of fluoride varnish	834	809	$4K
D0274	Bitewings - four radiographic images	1,096	1,072	$3K
D0210	Intraoral - complete series of radiographic images	45	26	$2K
D1354		185	48	$2K
D2930	Prefabricated stainless steel crown - primary tooth	34	25	$974.50
D3120		18	14	$0.00