Dental
Dentistry for Children at MT. Kisco PC
Dentistry for Children at MT. Kisco PC was paid $21K by Medicaid between Feb 2023 and Nov 2024, across 7 billing codes.
Its largest line is D1206 , Topical application of fluoride varnish — 39% of everything it billed.
33 Billing provider infoDENTISTRY FOR CHILDREN AT MT. KISCO PC
33a NPI1538883954 assigned 09/29/2022
28 Total paid$21K
24G Claims904
24D Codes billed7
24A First – last monthFeb 2023 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid #403 of 514
Median peer was paid $196K
This provider vs. median 0.1×
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 Proliferation Authorized official GOMEZ, STEPHANIE controls 20+ related entities in our dataset.
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Box 24A · Dates of service
Paid by month
$0 $2.0K $4.0K $6.0K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2023 197 $4K 2024incomplete 707 $17K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
D1206 Topical application of fluoride varnish
39% 323
323
$8K
D1120 Dental cleaning, childProphylaxis - child
39% 265
265
$8K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient
9.5% 89
89
$2K
D0150 Comprehensive oral evaluation - new or established patient
6.2% 88
88
$1K
D0272 Bitewings - two radiographic images
3.2% 54
54
$666.58
D0220 Intraoral - periapical first radiographic image
2.1% 45
45
$438.41
D0230 Intraoral - periapical each additional radiographic image
1.2% 40
34
$239.42
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
Same official Other billing entities under GOMEZ, STEPHANIE Full network →
Provider Location 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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.