Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › MT. KISCO › DENTISTRY FOR CHILDREN AT MT. KISCO PC

DENTISTRY FOR CHILDREN AT MT. KISCO PC

NPI: 1538883954 · MT. KISCO, NY 10549 · Pediatric Dentist · NPI assigned 09/29/2022

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

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

$21K
Total Medicaid Paid
904
Total Claims
898
Beneficiaries
7
Codes Billed
2023-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGOMEZ, STEPHANIE (OWNER)
NPI Enumeration Date09/29/2022

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
2023 197 $4K
2024 707 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 323 323 $8K
D1120 Prophylaxis - child 265 265 $8K
D0120 Periodic oral evaluation - established patient 89 89 $2K
D0150 Comprehensive oral evaluation - new or established patient 88 88 $1K
D0272 Bitewings - two radiographic images 54 54 $666.58
D0220 Intraoral - periapical first radiographic image 45 45 $438.41
D0230 Intraoral - periapical each additional radiographic image 40 34 $239.42