DAB DENTAL CENTER PLLC

NPI: 1174093256 · SARASOTA, FL 34249 · Pediatric Dentist · NPI assigned 11/30/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$50K

Total Medicaid Paid

2,011

Total Claims

1,766

Beneficiaries

Codes Billed

2020-01

First Month

2020-07

Last Month

Provider Details

Authorized Official	GOMEZ, STEPHANIE (CREDENTIALING SUPERVISOR)
NPI Enumeration Date	11/30/2018

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
2020	2,011	$50K

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	232	231	$28K
D0150	Comprehensive oral evaluation - new or established patient	59	59	$8K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	35	16	$3K
D2150	Silver amalgam - two surfaces, primary or permanent	70	45	$2K
D1351	Sealant - per tooth	163	55	$2K
D2140		124	61	$2K
D1208	Topical application of fluoride, excluding varnish	315	314	$1K
D1120	Prophylaxis - child	223	223	$1K
D0220	Intraoral - periapical first radiographic image	65	63	$656.16
D2930	Prefabricated stainless steel crown - primary tooth	29	15	$514.99
D1330		315	313	$99.29
D1110	Prophylaxis - adult	93	92	$89.18
D0272	Bitewings - two radiographic images	205	205	$86.68
D0230	Intraoral - periapical each additional radiographic image	36	29	$39.24
D9920		35	33	$39.24
D0240		12	12	$19.63