Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › ORLANDO › MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC

MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC

NPI: 1881161297 · ORLANDO, FL 32825 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/24/2018

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

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

$1.82M
Total Medicaid Paid
100,558
Total Claims
92,123
Beneficiaries
23
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOMEZ, STEPHANIE (CREDENTIALING SUPERVISOR)
NPI Enumeration Date10/24/2018

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 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
CHILDREN'S DENTAL CENTER OF KENDALL, PA MIAMI FL $601K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 75 $5K
2020 2,443 $59K
2021 3,769 $71K
2022 27,182 $551K
2023 33,841 $627K
2024 33,248 $508K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13,400 13,128 $626K
D0150 Comprehensive oral evaluation - new or established patient 4,456 4,365 $184K
D1110 Prophylaxis - adult 2,961 2,899 $176K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,876 1,378 $158K
D0330 Panoramic radiographic image 1,772 1,731 $153K
D1351 Sealant - per tooth 6,543 1,753 $97K
D7140 Extraction, erupted tooth or exposed root 1,057 777 $77K
D2391 Resin-based composite - one surface, posterior, primary or permanent 987 759 $58K
D0120 Periodic oral evaluation - established patient 11,785 11,532 $57K
D1208 Topical application of fluoride, excluding varnish 15,617 15,291 $51K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3,104 2,933 $50K
D0140 Limited oral evaluation - problem focused 1,102 1,057 $28K
D0210 Intraoral - complete series of radiographic images 261 261 $25K
D0272 Bitewings - two radiographic images 10,544 10,316 $25K
D1330 13,665 13,356 $14K
D0230 Intraoral - periapical each additional radiographic image 3,567 3,053 $14K
D0220 Intraoral - periapical first radiographic image 4,879 4,663 $11K
D9999 Unspecified adjunctive procedure, by report 321 321 $7K
D0274 Bitewings - four radiographic images 2,209 2,154 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 13 12 $2K
D3120 349 294 $1K
D0999 Unspecified diagnostic procedure, by report 41 41 $820.00
D1206 Topical application of fluoride varnish 49 49 $0.00