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

Main Street Children's Dentistry at Palmetto Hospital, PA

Main Street Children's Dentistry at Palmetto Hospital, PA was paid $436K by Medicaid between Dec 2019 and Apr 2023, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoMAIN STREET CHILDREN'S DENTISTRY AT PALMETTO HOSPITAL, PA
HIALEAH, FL 33016
33aNPI1386756641assigned 08/31/2006
33bProvider typePediatric Dentist
28Total paid$436K
24GClaims24,911
24DCodes billed19
24AFirst – last monthDec 2019 – Apr 2023
Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#68 of 246
Median peer was paid$107K
This provider vs. median4.1×

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$20K$40K2018201920202021202220232024
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
2019123$3K
20203,921$82K
20211,329$20K
202213,874$228K
20235,664$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 30% 3,178 3,127 $131K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 3,427 3,374 $62K
D1110 Prophylaxis - adult 14% 941 926 $60K
D0330 Panoramic radiographic image 12% 526 519 $52K
D9920 9.3% 463 450 $41K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.0% 342 236 $26K
D0150 Comprehensive oral evaluation - new or established patient 5.9% 653 641 $26K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2.2% 54 44 $10K
D0210 Intraoral - complete series of radiographic images 1.6% 95 95 $7K
D0230 Intraoral - periapical each additional radiographic image 1.4% 897 526 $6K
D1351 Sealant - per tooth 1.2% 1,125 303 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 497 480 $3K
7 more codes
D0140 Limited oral evaluation - problem focused <1% 74 $2K
D3120 <1% 84 $2K
D0272 Bitewings - two radiographic images <1% 2,272 $1K
D0220 Intraoral - periapical first radiographic image <1% 1,007 $984.00
D0274 Bitewings - four radiographic images <1% 959 $603.76
D1330 <1% 4,173 $359.60
D1208 Topical application of fluoride, excluding varnish <1% 4,144 $349.21

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 (PROVIDER RELATIONS)
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.