Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Cape Coral › NPI 1740557198
Dental

Main Street Children's Dentistry and Orthodontics of Cape Coral, P.A.

Main Street Children's Dentistry and Orthodontics of Cape Coral, P.A. was paid $2.21M by Medicaid between Sep 2018 and Dec 2024, across 31 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.

33Billing provider infoMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CAPE CORAL, P.A.
CAPE CORAL, FL 33914
33aNPI1740557198assigned 11/29/2011
33bProvider typeDentist
28Total paid$2.21M
24GClaims80,821
24DCodes billed31
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#15 of 542
Median peer was paid$25K
This provider vs. median87×

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$50K$100K2018201920202021202220232024
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
20181,509$45K
2019216$8K
20206,980$190K
20216,452$147K
202224,146$542K
202324,152$776K
2024incomplete17,366$502K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 23% 10,333 10,224 $505K
D9243 11% 418 351 $237K
D1110 Prophylaxis - adult 9.3% 3,033 2,995 $205K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.2% 2,005 1,501 $160K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 7.1% 205 143 $157K
D0140 Limited oral evaluation - problem focused 6.3% 2,516 2,415 $140K
D0150 Comprehensive oral evaluation - new or established patient 6.0% 2,541 2,519 $133K
D0330 Panoramic radiographic image 5.0% 1,858 1,840 $110K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.6% 3,612 3,427 $80K
D7240 Removal of impacted tooth - completely bony 2.8% 485 181 $61K
D1208 Topical application of fluoride, excluding varnish 2.7% 12,028 11,911 $59K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.7% 10,753 10,639 $59K
19 more codes
D1351 Sealant - per tooth 2.5% 6,040 $56K
D7140 Extraction, erupted tooth or exposed root 2.5% 1,076 $55K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.7% 735 $38K
D0272 Bitewings - two radiographic images 1.4% 4,675 $30K
D1330 1.0% 4,740 $23K
D0220 Intraoral - periapical first radiographic image <1% 4,370 $19K
D9239 <1% 374 $18K
D2930 Prefabricated stainless steel crown - primary tooth <1% 102 $18K
D0274 Bitewings - four radiographic images <1% 3,588 $17K
D1354 <1% 715 $14K
D9999 Unspecified adjunctive procedure, by report <1% 284 $6K
D0230 Intraoral - periapical each additional radiographic image <1% 2,652 $4K
D3120 <1% 292 $2K
D1999 <1% 41 $2K
D0999 Unspecified diagnostic procedure, by report <1% 78 $2K
D0240 <1% 187 $1K
D7921 0% 476 $0.00
D9612 0% 344 $0.00
D2950 0% 265 $0.00

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 SPECIALIST)
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.