Dental
Main Street Children's Dentistry and Orthodontics of Wellington, PA
Main Street Children's Dentistry and Orthodontics of Wellington, PA was paid $288K by Medicaid between Apr 2021 and Dec 2024, across 18 billing codes.
Its largest line is D1120 , dental cleaning, child — 46% of everything it billed.
33 Billing provider infoMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WELLINGTON, PA
33a NPI1760687149 assigned 06/18/2007
28 Total paid$288K
24G Claims18,753
24D Codes billed18
24A First – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Florida
Rank by total paid #19 of 87
Median peer was paid $44K
This provider vs. median 6.5×
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.
Read more
Box 24A · Dates of service
Paid by month
$0 $10K $20K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2021 1,599 $15K 2022 5,129 $81K 2023 7,136 $108K 2024incomplete 4,889 $83K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
D1120 Dental cleaning, childProphylaxis - child
46% 2,200
2,196
$133K
D1110 Prophylaxis - adult
18% 710
709
$52K
D0330 Panoramic radiographic image
9.1% 216
216
$26K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent
6.7% 218
149
$19K
D0150 Comprehensive oral evaluation - new or established patient
4.7% 246
245
$14K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient
4.2% 2,673
2,669
$12K
D1208 Topical application of fluoride, excluding varnish
4.1% 2,871
2,855
$12K
D0220 Intraoral - periapical first radiographic image
1.3% 2,062
2,025
$4K
D0272 Bitewings - two radiographic images
1.3% 1,199
1,197
$4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis
1.0% 279
254
$3K
D0230 Intraoral - periapical each additional radiographic image
<1% 1,768
1,738
$3K
D1351 Sealant - per tooth
<1% 448
121
$2K
6 more codes
D1330 <1%
2,890
$2K
D0274 Bitewings - four radiographic images
<1%
888
$2K
D9999 Unspecified adjunctive procedure, by report
<1%
24
$600.00
D1354 <1%
26
$295.20
D0999 Unspecified diagnostic procedure, by report
<1%
13
$260.00
D3120 <1%
22
$16.00
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
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.