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

Main Street Children's Dentistry and Orthodontics of Clermont, PLLC

Main Street Children's Dentistry and Orthodontics of Clermont, PLLC was paid $2.38M by Medicaid between Jan 2020 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.

33Billing provider infoMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CLERMONT, PLLC
CLERMONT, FL 34711
33aNPI1275982670assigned 06/07/2016
33bProvider typePediatric Dentist
28Total paid$2.38M
24GClaims115,390
24DCodes billed24
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#17 of 246
Median peer was paid$107K
This provider vs. median22×

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
20202,568$66K
20212,963$68K
202240,780$696K
202336,369$923K
2024incomplete32,710$629K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 34% 18,882 17,339 $819K
D1110 Prophylaxis - adult 14% 6,092 5,562 $343K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 4,914 2,169 $282K
D0150 Comprehensive oral evaluation - new or established patient 9.8% 6,083 5,679 $233K
D0330 Panoramic radiographic image 7.0% 2,056 1,942 $166K
D1208 Topical application of fluoride, excluding varnish 3.2% 24,629 22,538 $75K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.0% 18,479 16,836 $72K
D7140 Extraction, erupted tooth or exposed root 2.7% 1,583 986 $64K
D2930 Prefabricated stainless steel crown - primary tooth 2.4% 369 239 $58K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.2% 3,941 3,424 $53K
D1351 Sealant - per tooth 2.0% 5,676 1,485 $48K
D0140 Limited oral evaluation - problem focused 1.6% 1,686 1,522 $37K
12 more codes
D0274 Bitewings - four radiographic images 1.4% 11,228 $34K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.4% 274 $34K
D0272 Bitewings - two radiographic images <1% 7,479 $21K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 299 $17K
D9999 Unspecified adjunctive procedure, by report <1% 566 $13K
D0210 Intraoral - complete series of radiographic images <1% 127 $7K
D0220 Intraoral - periapical first radiographic image <1% 269 $3K
D0999 Unspecified diagnostic procedure, by report <1% 57 $1K
D1354 <1% 41 $389.89
D1330 <1% 550 $331.25
D0230 Intraoral - periapical each additional radiographic image <1% 46 $236.90
D3120 <1% 64 $16.00

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 COORDINATOR)
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.