NPI: 1124310867 · HOMESTEAD, FL 33033 · Pediatric Dentist · NPI assigned 05/13/2011
Authorized official GOMEZ, STEPHANIE controls 20+ related entities in our dataset. Read more
| Authorized Official | GOMEZ, STEPHANIE (PROVIDER RELATIONS SPECIALIST) |
| NPI Enumeration Date | 05/13/2011 |
Other providers sharing the same authorized official: GOMEZ, STEPHANIE
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total 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 |