Medicaid Provider Spending

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

MAIN STREET CHILDREN'S DENTISTRY OF AVENTURA, PA

NPI: 1083726335 · AVENTURA, FL 33180 · 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

$1.06M
Total Medicaid Paid
79,122
Total Claims
69,905
Beneficiaries
20
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOMEZ, STEPHANIE (PROVIDER RELATIONS)
NPI Enumeration Date08/31/2006

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 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
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
2018 227 $5K
2019 217 $3K
2020 5,429 $98K
2021 2,633 $38K
2022 27,021 $276K
2023 26,379 $459K
2024 17,216 $186K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 7,684 7,291 $361K
D1110 Prophylaxis - adult 3,157 2,968 $194K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,647 1,032 $115K
D0120 Periodic oral evaluation - established patient 9,386 8,885 $94K
D0150 Comprehensive oral evaluation - new or established patient 1,207 1,140 $65K
D0230 Intraoral - periapical each additional radiographic image 11,033 8,769 $48K
D0330 Panoramic radiographic image 466 460 $42K
D0140 Limited oral evaluation - problem focused 639 594 $22K
D0210 Intraoral - complete series of radiographic images 183 183 $22K
D1351 Sealant - per tooth 3,564 903 $21K
D2391 Resin-based composite - one surface, posterior, primary or permanent 331 225 $20K
D1208 Topical application of fluoride, excluding varnish 9,709 9,170 $20K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,224 1,104 $10K
D0220 Intraoral - periapical first radiographic image 9,933 9,347 $9K
D0272 Bitewings - two radiographic images 5,274 4,955 $6K
D1330 9,603 9,017 $6K
D0274 Bitewings - four radiographic images 3,140 2,958 $5K
D7140 Extraction, erupted tooth or exposed root 74 57 $5K
D9995 18 18 $290.00
D1206 Topical application of fluoride varnish 850 829 $224.59