Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Main Street Children's Dentistry and Orthodontics of FT. Myers, P.A.

Main Street Children's Dentistry and Orthodontics of FT. Myers, P.A. was paid $1.80M by Medicaid between Sep 2018 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF FT. MYERS, P.A.
FORT MYERS, FL 33966
33aNPI1962794602assigned 05/13/2011
28Total paid$1.80M
24GClaims102,524
24DCodes billed26
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Florida

Rank by total paid#5 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
20182,389$65K
20191,048$25K
202011,073$264K
20212,245$42K
202230,592$484K
202330,140$508K
2024incomplete25,037$412K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 30% 10,919 10,663 $541K
D1110 Prophylaxis - adult 14% 3,598 3,490 $244K
D0150 Comprehensive oral evaluation - new or established patient 8.3% 3,346 3,283 $149K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 7.1% 4,563 4,216 $128K
D1351 Sealant - per tooth 5.8% 9,929 2,937 $105K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.5% 1,674 1,108 $99K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.4% 1,843 1,396 $98K
D7140 Extraction, erupted tooth or exposed root 4.8% 1,623 973 $86K
D0272 Bitewings - two radiographic images 3.5% 7,029 6,857 $62K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.9% 11,291 10,989 $53K
D1208 Topical application of fluoride, excluding varnish 2.8% 13,413 13,100 $50K
D0140 Limited oral evaluation - problem focused 1.7% 1,058 1,021 $31K
14 more codes
D0274 Bitewings - four radiographic images 1.6% 3,167 $29K
D1354 1.5% 2,437 $28K
D0220 Intraoral - periapical first radiographic image 1.3% 6,149 $24K
D1330 1.1% 12,770 $19K
D0330 Panoramic radiographic image <1% 282 $14K
D0240 <1% 751 $12K
D2930 Prefabricated stainless steel crown - primary tooth <1% 102 $9K
D0230 Intraoral - periapical each additional radiographic image <1% 5,546 $8K
D9999 Unspecified adjunctive procedure, by report <1% 322 $6K
D1999 <1% 52 $2K
D0999 Unspecified diagnostic procedure, by report <1% 67 $1K
D3120 <1% 65 $553.29
D1206 Topical application of fluoride varnish <1% 516 $47.45
D0210 Intraoral - complete series of radiographic images 0% 12 $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 SPECIALIST)
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.