MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CORAL SPRINGS, PL

NPI: 1073995395 · CORAL SPRINGS, FL 33065 · Pediatric Dentist · NPI assigned 06/23/2015

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$45K

Total Medicaid Paid

2,199

Total Claims

2,007

Beneficiaries

Codes Billed

2019-12

First Month

2020-03

Last Month

Provider Details

Authorized Official	GOMEZ, STEPHANIE (PROVIDER RELATIONS)
NPI Enumeration Date	06/23/2015

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

Year	Claims	Total Paid
2019	84	$2K
2020	2,115	$44K

Code	Description	Claims	Beneficiaries	Total Paid
D0272	Bitewings - two radiographic images	167	165	$8K
D0274	Bitewings - four radiographic images	97	96	$7K
D1120	Prophylaxis - child	237	235	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	102	73	$4K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	69	64	$4K
D0220	Intraoral - periapical first radiographic image	89	88	$4K
D0120	Periodic oral evaluation - established patient	259	258	$3K
D1351	Sealant - per tooth	188	61	$3K
D1110	Prophylaxis - adult	104	103	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	27	22	$1K
D0330	Panoramic radiographic image	12	12	$901.90
D7140	Extraction, erupted tooth or exposed root	21	15	$841.97
D0150	Comprehensive oral evaluation - new or established patient	76	74	$450.70
D3120		15	12	$310.00
D1208	Topical application of fluoride, excluding varnish	329	326	$223.57
D0230	Intraoral - periapical each additional radiographic image	83	82	$84.00
D1330		324	321	$0.00