Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF HOMESTEAD, P.A.

NPI: 1124310867 · HOMESTEAD, FL 33033 · Pediatric Dentist · NPI assigned 05/13/2011

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

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

$2.10M
Total Medicaid Paid
112,659
Total Claims
105,566
Beneficiaries
24
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOMEZ, STEPHANIE (PROVIDER RELATIONS SPECIALIST)
NPI Enumeration Date05/13/2011

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 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 41 $107.50
2020 2,729 $59K
2021 1,533 $21K
2022 28,153 $520K
2023 39,462 $847K
2024 40,741 $655K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13,721 13,585 $672K
D1110 Prophylaxis - adult 4,964 4,931 $315K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,583 2,269 $251K
D0330 Panoramic radiographic image 2,426 2,415 $222K
D0150 Comprehensive oral evaluation - new or established patient 3,234 3,194 $142K
D0120 Periodic oral evaluation - established patient 15,339 15,209 $93K
D7140 Extraction, erupted tooth or exposed root 1,444 966 $74K
D1208 Topical application of fluoride, excluding varnish 18,272 18,097 $67K
D2930 Prefabricated stainless steel crown - primary tooth 675 462 $65K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,107 780 $44K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3,813 3,625 $32K
D1351 Sealant - per tooth 4,890 1,404 $24K
D0140 Limited oral evaluation - problem focused 839 829 $22K
D0272 Bitewings - two radiographic images 10,633 10,552 $22K
D1330 17,740 17,541 $16K
D0274 Bitewings - four radiographic images 4,752 4,727 $11K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 51 41 $8K
D0220 Intraoral - periapical first radiographic image 3,193 3,114 $7K
D0210 Intraoral - complete series of radiographic images 39 39 $5K
D9999 Unspecified adjunctive procedure, by report 134 134 $3K
D0230 Intraoral - periapical each additional radiographic image 1,545 1,518 $3K
D1354 213 93 $2K
D9920 30 27 $961.76
D3120 22 14 $16.00