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

Main Street Children's Dentistry and Orthodontics of Winter Park, PA

Main Street Children's Dentistry and Orthodontics of Winter Park, PA was paid $1.68M by Medicaid between Sep 2018 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WINTER PARK, PA
WINTER PARK, FL 32789
33aNPI1306138045assigned 05/13/2011
33bProvider typeDentist
28Total paid$1.68M
24GClaims91,290
24DCodes billed26
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#22 of 542
Median peer was paid$25K
This provider vs. median66×

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
20181,212$33K
2019507$16K
202011,400$271K
20213,577$68K
202220,837$389K
202325,849$499K
2024incomplete27,908$407K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 30% 10,421 10,322 $505K
D1110 Prophylaxis - adult 12% 3,288 3,256 $202K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 11% 2,648 1,778 $184K
D0330 Panoramic radiographic image 8.4% 1,892 1,877 $141K
D0150 Comprehensive oral evaluation - new or established patient 7.8% 3,058 3,018 $131K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5.7% 3,870 3,679 $96K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.7% 10,542 10,429 $62K
D1351 Sealant - per tooth 3.5% 5,708 1,511 $58K
D1208 Topical application of fluoride, excluding varnish 2.4% 12,419 12,288 $40K
D2930 Prefabricated stainless steel crown - primary tooth 2.0% 207 149 $34K
D0272 Bitewings - two radiographic images 2.0% 6,404 6,339 $34K
D0220 Intraoral - periapical first radiographic image 2.0% 6,368 6,221 $33K
14 more codes
D0274 Bitewings - four radiographic images 1.8% 4,646 $30K
D0140 Limited oral evaluation - problem focused 1.5% 890 $25K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.4% 477 $24K
D1330 1.4% 10,990 $24K
D7140 Extraction, erupted tooth or exposed root <1% 479 $17K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 110 $14K
D0230 Intraoral - periapical each additional radiographic image <1% 5,144 $9K
D7111 <1% 133 $8K
D3120 <1% 1,322 $4K
D9999 Unspecified adjunctive procedure, by report <1% 146 $4K
D0999 Unspecified diagnostic procedure, by report <1% 74 $1K
D0210 Intraoral - complete series of radiographic images <1% 12 $1K
D1999 <1% 27 $1K
D1206 Topical application of fluoride varnish <1% 15 $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 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.