Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Main Street Children's Dentistry and Orthodontics of Orange City, P.A.

Main Street Children's Dentistry and Orthodontics of Orange City, P.A. was paid $1.58M by Medicaid between Apr 2020 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.

33Billing provider infoMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF ORANGE CITY, P.A.
ORANGE CITY, FL 32763
33aNPI1124393822assigned 03/13/2012
33bProvider typeDentist
28Total paid$1.58M
24GClaims75,778
24DCodes billed26
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#26 of 542
Median peer was paid$25K
This provider vs. median62×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GOMEZ, STEPHANIE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20203,094$89K
20212,162$24K
202223,662$479K
202325,825$527K
2024incomplete21,035$461K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 28% 8,125 8,094 $449K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13% 2,798 1,453 $203K
D1110 Prophylaxis - adult 10% 2,197 2,181 $159K
D0330 Panoramic radiographic image 8.3% 1,476 1,465 $131K
D0150 Comprehensive oral evaluation - new or established patient 6.2% 2,019 2,005 $99K
D7140 Extraction, erupted tooth or exposed root 4.5% 1,413 831 $71K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.1% 3,249 3,046 $65K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.9% 1,947 1,060 $62K
D2930 Prefabricated stainless steel crown - primary tooth 3.7% 548 337 $59K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.5% 8,226 8,162 $55K
D1208 Topical application of fluoride, excluding varnish 2.8% 9,896 9,839 $44K
D0274 Bitewings - four radiographic images 2.3% 6,386 6,351 $36K
14 more codes
D0210 Intraoral - complete series of radiographic images 1.7% 240 $26K
D0140 Limited oral evaluation - problem focused 1.4% 728 $23K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.1% 87 $17K
D1351 Sealant - per tooth 1.1% 2,685 $17K
D1510 <1% 64 $14K
D0220 Intraoral - periapical first radiographic image <1% 6,025 $14K
D1330 <1% 9,780 $9K
D9999 Unspecified adjunctive procedure, by report <1% 391 $9K
D0272 Bitewings - two radiographic images <1% 1,951 $8K
D0230 Intraoral - periapical each additional radiographic image <1% 4,724 $5K
D3120 <1% 713 $3K
D0999 Unspecified diagnostic procedure, by report <1% 51 $1K
D9920 <1% 25 $754.55
D1206 Topical application of fluoride varnish 0% 34 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGOMEZ, STEPHANIE (PROVIDER RELATIONS SPECIALIST)
Same official

Other billing entities under GOMEZ, STEPHANIE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.