Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Main Street Childrens Dentistry and Orthodontics Waterford Lakes PLLC

Main Street Childrens Dentistry and Orthodontics Waterford Lakes PLLC was paid $1.82M by Medicaid between Dec 2019 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.

33Billing provider infoMAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC
ORLANDO, FL 32825
33aNPI1881161297assigned 10/24/2018
28Total paid$1.82M
24GClaims100,558
24DCodes billed23
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Florida

Rank by total paid#4 of 87
Median peer was paid$44K
This provider vs. median41×

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$25K$50K$75K2018201920202021202220232024
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
201975$5K
20202,443$59K
20213,769$71K
202227,182$551K
202333,841$627K
2024incomplete33,248$508K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 34% 13,400 13,128 $626K
D0150 Comprehensive oral evaluation - new or established patient 10% 4,456 4,365 $184K
D1110 Prophylaxis - adult 9.7% 2,961 2,899 $176K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.7% 1,876 1,378 $158K
D0330 Panoramic radiographic image 8.4% 1,772 1,731 $153K
D1351 Sealant - per tooth 5.3% 6,543 1,753 $97K
D7140 Extraction, erupted tooth or exposed root 4.2% 1,057 777 $77K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.2% 987 759 $58K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.1% 11,785 11,532 $57K
D1208 Topical application of fluoride, excluding varnish 2.8% 15,617 15,291 $51K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.8% 3,104 2,933 $50K
D0140 Limited oral evaluation - problem focused 1.5% 1,102 1,057 $28K
11 more codes
D0210 Intraoral - complete series of radiographic images 1.4% 261 $25K
D0272 Bitewings - two radiographic images 1.4% 10,544 $25K
D1330 <1% 13,665 $14K
D0230 Intraoral - periapical each additional radiographic image <1% 3,567 $14K
D0220 Intraoral - periapical first radiographic image <1% 4,879 $11K
D9999 Unspecified adjunctive procedure, by report <1% 321 $7K
D0274 Bitewings - four radiographic images <1% 2,209 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 13 $2K
D3120 <1% 349 $1K
D0999 Unspecified diagnostic procedure, by report <1% 41 $820.00
D1206 Topical application of fluoride varnish 0% 49 $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.