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

Main Street Children's Dentistry & Orthodontics of Palmetto Bay, PA

Main Street Children's Dentistry & Orthodontics of Palmetto Bay, PA was paid $2.22M by Medicaid between Sep 2018 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.

33Billing provider infoMAIN STREET CHILDREN'S DENTISTRY & ORTHODONTICS OF PALMETTO BAY, PA
PALMETTO BAY, FL 33176
33aNPI1174850093assigned 11/13/2009
33bProvider typePediatric Dentist
28Total paid$2.22M
24GClaims142,810
24DCodes billed26
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#19 of 246
Median peer was paid$107K
This provider vs. median21×

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$50K$100K2018201920202021202220232024
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
2018527$9K
2019377$6K
20209,684$191K
20214,411$73K
202247,834$630K
202345,139$860K
2024incomplete34,838$454K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 34% 16,143 15,237 $756K
D1110 Prophylaxis - adult 19% 7,888 7,433 $427K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.6% 22,169 20,869 $213K
D0330 Panoramic radiographic image 9.0% 2,262 2,181 $201K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.8% 2,916 1,680 $174K
D0150 Comprehensive oral evaluation - new or established patient 3.2% 1,284 1,194 $71K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2.6% 332 240 $59K
D1208 Topical application of fluoride, excluding varnish 2.2% 23,362 21,964 $50K
D2930 Prefabricated stainless steel crown - primary tooth 2.0% 404 196 $44K
D1351 Sealant - per tooth 1.8% 7,258 1,686 $40K
D7140 Extraction, erupted tooth or exposed root 1.7% 723 453 $38K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.3% 2,475 2,257 $29K
14 more codes
D0140 Limited oral evaluation - problem focused 1.2% 1,114 $26K
D0210 Intraoral - complete series of radiographic images <1% 143 $15K
D0272 Bitewings - two radiographic images <1% 9,228 $14K
D1354 <1% 920 $14K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 250 $13K
D1330 <1% 21,205 $13K
D0220 Intraoral - periapical first radiographic image <1% 9,926 $11K
D0274 Bitewings - four radiographic images <1% 3,883 $8K
D0230 Intraoral - periapical each additional radiographic image <1% 8,474 $7K
D3120 <1% 284 $704.46
D9999 Unspecified adjunctive procedure, by report <1% 12 $300.00
D0999 Unspecified diagnostic procedure, by report <1% 12 $240.00
D9215 0% 131 $0.00
D0240 0% 12 $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 (CREDENTIALING SUPERVISOR)
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.