Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › HIALEAH › MAIN STREET CHILDREN'S DENTISTRY AT PALMETTO HOSPITAL, PA

MAIN STREET CHILDREN'S DENTISTRY AT PALMETTO HOSPITAL, PA

NPI: 1386756641 · HIALEAH, FL 33016 · Pediatric Dentist · NPI assigned 08/31/2006

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

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

$436K
Total Medicaid Paid
24,911
Total Claims
23,200
Beneficiaries
19
Codes Billed
2019-12
First Month
2023-04
Last Month

Provider Details

Authorized OfficialGOMEZ, STEPHANIE (PROVIDER RELATIONS)
NPI Enumeration Date08/31/2006

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 & 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 123 $3K
2020 3,921 $82K
2021 1,329 $20K
2022 13,874 $228K
2023 5,664 $104K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 3,178 3,127 $131K
D0120 Periodic oral evaluation - established patient 3,427 3,374 $62K
D1110 Prophylaxis - adult 941 926 $60K
D0330 Panoramic radiographic image 526 519 $52K
D9920 463 450 $41K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 342 236 $26K
D0150 Comprehensive oral evaluation - new or established patient 653 641 $26K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 54 44 $10K
D0210 Intraoral - complete series of radiographic images 95 95 $7K
D0230 Intraoral - periapical each additional radiographic image 897 526 $6K
D1351 Sealant - per tooth 1,125 303 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 497 480 $3K
D0140 Limited oral evaluation - problem focused 74 68 $2K
D3120 84 67 $2K
D0272 Bitewings - two radiographic images 2,272 2,231 $1K
D0220 Intraoral - periapical first radiographic image 1,007 984 $984.00
D0274 Bitewings - four radiographic images 959 945 $603.76
D1330 4,173 4,106 $359.60
D1208 Topical application of fluoride, excluding varnish 4,144 4,078 $349.21