Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › ROYAL PALM BEACH › MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WELLINGTON, PA

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WELLINGTON, PA

NPI: 1760687149 · ROYAL PALM BEACH, FL 33411 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 06/18/2007

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

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

$288K
Total Medicaid Paid
18,753
Total Claims
18,204
Beneficiaries
18
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOMEZ, STEPHANIE (PROVIDER RELATIONS)
NPI Enumeration Date06/18/2007

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
2021 1,599 $15K
2022 5,129 $81K
2023 7,136 $108K
2024 4,889 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 2,200 2,196 $133K
D1110 Prophylaxis - adult 710 709 $52K
D0330 Panoramic radiographic image 216 216 $26K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 218 149 $19K
D0150 Comprehensive oral evaluation - new or established patient 246 245 $14K
D0120 Periodic oral evaluation - established patient 2,673 2,669 $12K
D1208 Topical application of fluoride, excluding varnish 2,871 2,855 $12K
D0220 Intraoral - periapical first radiographic image 2,062 2,025 $4K
D0272 Bitewings - two radiographic images 1,199 1,197 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 279 254 $3K
D0230 Intraoral - periapical each additional radiographic image 1,768 1,738 $3K
D1351 Sealant - per tooth 448 121 $2K
D1330 2,890 2,883 $2K
D0274 Bitewings - four radiographic images 888 886 $2K
D9999 Unspecified adjunctive procedure, by report 24 24 $600.00
D1354 26 12 $295.20
D0999 Unspecified diagnostic procedure, by report 13 13 $260.00
D3120 22 12 $16.00