MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF SOUTH BROWARD, PA

NPI: 1891807160 · COOPER CITY, FL 33024 · Pediatric Dentist · NPI assigned 08/31/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$717K

Total Medicaid Paid

64,907

Total Claims

52,927

Beneficiaries

Codes Billed

2019-12

First Month

2024-12

Last Month

Provider Details

Authorized Official	GOMEZ, STEPHANIE (PROVIDER RELATIONS)
NPI Enumeration Date	08/31/2006

Other providers sharing the same authorized official: GOMEZ, STEPHANIE

Provider	City	State	Total 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
CHILDREN'S DENTAL CENTER OF KENDALL, PA	MIAMI	FL	$601K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	6,351	5,504	$181K
D1110	Prophylaxis - adult	4,024	3,536	$147K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2,465	1,411	$106K
D0120	Periodic oral evaluation - established patient	9,277	8,140	$76K
D7140	Extraction, erupted tooth or exposed root	1,131	531	$34K
D0330	Panoramic radiographic image	800	661	$32K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1,034	627	$30K
D0150	Comprehensive oral evaluation - new or established patient	1,211	1,021	$29K
D1208	Topical application of fluoride, excluding varnish	9,731	8,464	$15K
D0140	Limited oral evaluation - problem focused	865	732	$13K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2,074	1,744	$12K
D1351	Sealant - per tooth	3,151	784	$11K
D0272	Bitewings - two radiographic images	6,102	5,542	$8K
D0220	Intraoral - periapical first radiographic image	4,819	4,305	$5K
D0210	Intraoral - complete series of radiographic images	179	126	$4K
D0230	Intraoral - periapical each additional radiographic image	3,960	3,604	$3K
D2930	Prefabricated stainless steel crown - primary tooth	32	27	$3K
D0274	Bitewings - four radiographic images	2,393	1,938	$3K
D1330		5,003	3,967	$1K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	67	51	$923.89
D1206	Topical application of fluoride varnish	215	198	$724.86
D9996		23	14	$0.00