Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › PALMETTO BAY › MAIN STREET CHILDREN'S DENTISTRY & ORTHODONTICS OF PALMETTO BAY, PA

MAIN STREET CHILDREN'S DENTISTRY & ORTHODONTICS OF PALMETTO BAY, PA

NPI: 1174850093 · PALMETTO BAY, FL 33176 · Pediatric Dentist · NPI assigned 11/13/2009

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

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

$2.22M
Total Medicaid Paid
142,810
Total Claims
126,785
Beneficiaries
26
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOMEZ, STEPHANIE (CREDENTIALING SUPERVISOR)
NPI Enumeration Date11/13/2009

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 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
CHILDREN'S DENTAL CENTER OF KENDALL, PA MIAMI FL $601K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 527 $9K
2019 377 $6K
2020 9,684 $191K
2021 4,411 $73K
2022 47,834 $630K
2023 45,139 $860K
2024 34,838 $454K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 16,143 15,237 $756K
D1110 Prophylaxis - adult 7,888 7,433 $427K
D0120 Periodic oral evaluation - established patient 22,169 20,869 $213K
D0330 Panoramic radiographic image 2,262 2,181 $201K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,916 1,680 $174K
D0150 Comprehensive oral evaluation - new or established patient 1,284 1,194 $71K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 332 240 $59K
D1208 Topical application of fluoride, excluding varnish 23,362 21,964 $50K
D2930 Prefabricated stainless steel crown - primary tooth 404 196 $44K
D1351 Sealant - per tooth 7,258 1,686 $40K
D7140 Extraction, erupted tooth or exposed root 723 453 $38K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2,475 2,257 $29K
D0140 Limited oral evaluation - problem focused 1,114 1,039 $26K
D0210 Intraoral - complete series of radiographic images 143 143 $15K
D0272 Bitewings - two radiographic images 9,228 8,730 $14K
D1354 920 300 $14K
D2391 Resin-based composite - one surface, posterior, primary or permanent 250 198 $13K
D1330 21,205 19,805 $13K
D0220 Intraoral - periapical first radiographic image 9,926 9,259 $11K
D0274 Bitewings - four radiographic images 3,883 3,676 $8K
D0230 Intraoral - periapical each additional radiographic image 8,474 7,872 $7K
D3120 284 211 $704.46
D9999 Unspecified adjunctive procedure, by report 12 12 $300.00
D0999 Unspecified diagnostic procedure, by report 12 12 $240.00
D9215 131 126 $0.00
D0240 12 12 $0.00