Medicaid Provider Spending

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

MAIN STREET CHILDREN'S DENTISTRY OF JUPITER, PA

NPI: 1487766838 · JUPITER, FL 33458 · 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

$824K
Total Medicaid Paid
57,553
Total Claims
48,873
Beneficiaries
24
Codes Billed
2019-12
First Month
2024-12
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 AND ORTHODONTICS OF SOUTH BROWARD, PA COOPER CITY FL $717K
CHILDREN'S DENTAL CENTER OF KENDALL, PA MIAMI FL $601K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 688 $12K
2020 6,852 $130K
2021 1,765 $21K
2022 20,718 $275K
2023 13,209 $213K
2024 14,321 $173K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 5,500 5,097 $279K
D1110 Prophylaxis - adult 1,840 1,721 $134K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,457 831 $87K
D0120 Periodic oral evaluation - established patient 6,178 5,744 $86K
D0150 Comprehensive oral evaluation - new or established patient 1,091 1,014 $65K
D2391 Resin-based composite - one surface, posterior, primary or permanent 699 436 $26K
D1351 Sealant - per tooth 4,606 1,132 $22K
D0330 Panoramic radiographic image 633 611 $20K
D7140 Extraction, erupted tooth or exposed root 421 268 $18K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,036 907 $15K
D0220 Intraoral - periapical first radiographic image 6,955 6,398 $13K
D1208 Topical application of fluoride, excluding varnish 6,799 6,320 $13K
D0140 Limited oral evaluation - problem focused 469 425 $11K
D0230 Intraoral - periapical each additional radiographic image 6,538 6,015 $6K
D1354 515 101 $6K
D0272 Bitewings - two radiographic images 4,604 4,240 $5K
D1330 6,417 5,945 $5K
D2930 Prefabricated stainless steel crown - primary tooth 70 58 $5K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 18 15 $4K
D0274 Bitewings - four radiographic images 1,296 1,246 $3K
D9999 Unspecified adjunctive procedure, by report 27 27 $675.00
D9995 15 15 $265.00
D3120 126 106 $259.31
D1206 Topical application of fluoride varnish 243 201 $60.00