Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch PLL

Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch PLL was paid $360K by Medicaid between May 2020 and Oct 2022, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.

33Billing provider infoMAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS OF LAKEWOOD RANCH PLL
BRADENTON, FL 34202
33aNPI1790273159assigned 05/01/2018
28Total paid$360K
24GClaims18,528
24DCodes billed22
24AFirst – last monthMay 2020 – Oct 2022
Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Florida

Rank by total paid#15 of 87
Median peer was paid$44K
This provider vs. median8.2×

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$20K$40K$60K2018201920202021202220232024
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
202050$60.00
20211,851$40K
202216,627$320K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 24% 1,222 1,210 $87K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 19% 234 159 $68K
D0150 Comprehensive oral evaluation - new or established patient 15% 837 824 $55K
D0230 Intraoral - periapical each additional radiographic image 14% 4,429 1,621 $49K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13% 691 369 $47K
D2930 Prefabricated stainless steel crown - primary tooth 3.9% 490 273 $14K
D7140 Extraction, erupted tooth or exposed root 3.4% 409 276 $12K
D0210 Intraoral - complete series of radiographic images 2.1% 74 74 $8K
D0330 Panoramic radiographic image 1.5% 77 77 $5K
D0140 Limited oral evaluation - problem focused <1% 84 84 $3K
D1110 Prophylaxis - adult <1% 26 26 $2K
D1120 Dental cleaning, childProphylaxis - child <1% 1,998 1,972 $2K
10 more codes
D0999 Unspecified diagnostic procedure, by report <1% 105 $2K
D1351 Sealant - per tooth <1% 784 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 721 $1K
D9999 Unspecified adjunctive procedure, by report <1% 38 $760.00
D0220 Intraoral - periapical first radiographic image <1% 1,832 $137.68
D1206 Topical application of fluoride varnish <1% 1,792 $115.45
D0272 Bitewings - two radiographic images <1% 317 $106.00
D1330 <1% 2,022 $79.00
D0274 Bitewings - four radiographic images <1% 107 $28.00
D1208 Topical application of fluoride, excluding varnish 0% 239 $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 (CREDENTIALING SUPERVISOR)
Same official

Other billing entities under GOMEZ, STEPHANIE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.