Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › FORT MYERS › MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF FT. MYERS, P.A.

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF FT. MYERS, P.A.

NPI: 1962794602 · FORT MYERS, FL 33966 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/13/2011

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

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

$1.80M
Total Medicaid Paid
102,524
Total Claims
88,382
Beneficiaries
26
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOMEZ, STEPHANIE (PROVIDER RELATIONS SPECIALIST)
NPI Enumeration Date05/13/2011

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 CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC ORLANDO FL $1.82M
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
2018 2,389 $65K
2019 1,048 $25K
2020 11,073 $264K
2021 2,245 $42K
2022 30,592 $484K
2023 30,140 $508K
2024 25,037 $412K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 10,919 10,663 $541K
D1110 Prophylaxis - adult 3,598 3,490 $244K
D0150 Comprehensive oral evaluation - new or established patient 3,346 3,283 $149K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4,563 4,216 $128K
D1351 Sealant - per tooth 9,929 2,937 $105K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,674 1,108 $99K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,843 1,396 $98K
D7140 Extraction, erupted tooth or exposed root 1,623 973 $86K
D0272 Bitewings - two radiographic images 7,029 6,857 $62K
D0120 Periodic oral evaluation - established patient 11,291 10,989 $53K
D1208 Topical application of fluoride, excluding varnish 13,413 13,100 $50K
D0140 Limited oral evaluation - problem focused 1,058 1,021 $31K
D0274 Bitewings - four radiographic images 3,167 3,082 $29K
D1354 2,437 777 $28K
D0220 Intraoral - periapical first radiographic image 6,149 5,749 $24K
D1330 12,770 12,482 $19K
D0330 Panoramic radiographic image 282 282 $14K
D0240 751 508 $12K
D2930 Prefabricated stainless steel crown - primary tooth 102 74 $9K
D0230 Intraoral - periapical each additional radiographic image 5,546 4,416 $8K
D9999 Unspecified adjunctive procedure, by report 322 322 $6K
D1999 52 52 $2K
D0999 Unspecified diagnostic procedure, by report 67 67 $1K
D3120 65 51 $553.29
D1206 Topical application of fluoride varnish 516 475 $47.45
D0210 Intraoral - complete series of radiographic images 12 12 $0.00