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

Main Street Children's Dentistry and Orthodontics of South Broward, PA

Main Street Children's Dentistry and Orthodontics of South Broward, PA was paid $717K by Medicaid between Dec 2019 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.

33Billing provider infoMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF SOUTH BROWARD, PA
COOPER CITY, FL 33024
33aNPI1891807160assigned 08/31/2006
33bProvider typePediatric Dentist
28Total paid$717K
24GClaims64,907
24DCodes billed22
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#47 of 246
Median peer was paid$107K
This provider vs. median6.7×

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$40K2018201920202021202220232024
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
201915$559.00
20204,343$92K
20212,679$37K
202224,416$68K
202318,993$340K
2024incomplete14,461$179K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 25% 6,351 5,504 $181K
D1110 Prophylaxis - adult 21% 4,024 3,536 $147K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 2,465 1,411 $106K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 9,277 8,140 $76K
D7140 Extraction, erupted tooth or exposed root 4.7% 1,131 531 $34K
D0330 Panoramic radiographic image 4.5% 800 661 $32K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.2% 1,034 627 $30K
D0150 Comprehensive oral evaluation - new or established patient 4.0% 1,211 1,021 $29K
D1208 Topical application of fluoride, excluding varnish 2.1% 9,731 8,464 $15K
D0140 Limited oral evaluation - problem focused 1.8% 865 732 $13K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.7% 2,074 1,744 $12K
D1351 Sealant - per tooth 1.6% 3,151 784 $11K
10 more codes
D0272 Bitewings - two radiographic images 1.2% 6,102 $8K
D0220 Intraoral - periapical first radiographic image <1% 4,819 $5K
D0210 Intraoral - complete series of radiographic images <1% 179 $4K
D0230 Intraoral - periapical each additional radiographic image <1% 3,960 $3K
D2930 Prefabricated stainless steel crown - primary tooth <1% 32 $3K
D0274 Bitewings - four radiographic images <1% 2,393 $3K
D1330 <1% 5,003 $1K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 67 $923.89
D1206 Topical application of fluoride varnish <1% 215 $724.86
D9996 0% 23 $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 (PROVIDER RELATIONS)
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.