Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Jupiter › NPI 1487766838
Dental

Main Street Children's Dentistry of Jupiter, PA

Main Street Children's Dentistry of Jupiter, PA was paid $824K by Medicaid between Dec 2019 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 OF JUPITER, PA
JUPITER, FL 33458
33aNPI1487766838assigned 08/31/2006
33bProvider typePediatric Dentist
28Total paid$824K
24GClaims57,553
24DCodes billed24
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#43 of 246
Median peer was paid$107K
This provider vs. median7.7×

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
2019688$12K
20206,852$130K
20211,765$21K
202220,718$275K
202313,209$213K
2024incomplete14,321$173K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 34% 5,500 5,097 $279K
D1110 Prophylaxis - adult 16% 1,840 1,721 $134K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 11% 1,457 831 $87K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 10% 6,178 5,744 $86K
D0150 Comprehensive oral evaluation - new or established patient 7.9% 1,091 1,014 $65K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.1% 699 436 $26K
D1351 Sealant - per tooth 2.6% 4,606 1,132 $22K
D0330 Panoramic radiographic image 2.4% 633 611 $20K
D7140 Extraction, erupted tooth or exposed root 2.1% 421 268 $18K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.8% 1,036 907 $15K
D0220 Intraoral - periapical first radiographic image 1.6% 6,955 6,398 $13K
D1208 Topical application of fluoride, excluding varnish 1.6% 6,799 6,320 $13K
12 more codes
D0140 Limited oral evaluation - problem focused 1.3% 469 $11K
D0230 Intraoral - periapical each additional radiographic image <1% 6,538 $6K
D1354 <1% 515 $6K
D0272 Bitewings - two radiographic images <1% 4,604 $5K
D1330 <1% 6,417 $5K
D2930 Prefabricated stainless steel crown - primary tooth <1% 70 $5K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 18 $4K
D0274 Bitewings - four radiographic images <1% 1,296 $3K
D9999 Unspecified adjunctive procedure, by report <1% 27 $675.00
D9995 <1% 15 $265.00
D3120 <1% 126 $259.31
D1206 Topical application of fluoride varnish <1% 243 $60.00

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 (PROVIDER RELATIONS)
Same official

Other billing entities under GOMEZ, STEPHANIE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.