HIALEAH SQUARE DENTISTRY, PA

NPI: 1982924585 · HIALEAH, FL 33012 · General Practice Dentistry · NPI assigned 06/04/2010

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$98K

Total Medicaid Paid

5,669

Total Claims

5,373

Beneficiaries

Codes Billed

2020-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	GOMEZ, STEPHANIE (PROVIDER RELATIONS SPECIALIST)
NPI Enumeration Date	06/04/2010

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
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF SOUTH BROWARD, PA	COOPER CITY	FL	$717K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	856	855	$59K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	445	197	$21K
D0274	Bitewings - four radiographic images	703	701	$4K
D0150	Comprehensive oral evaluation - new or established patient	170	170	$4K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	36	12	$3K
D0120	Periodic oral evaluation - established patient	494	493	$3K
D1208	Topical application of fluoride, excluding varnish	524	523	$1K
D0210	Intraoral - complete series of radiographic images	12	12	$942.92
D0220	Intraoral - periapical first radiographic image	719	714	$888.53
D1330		888	885	$727.19
D0230	Intraoral - periapical each additional radiographic image	695	690	$469.08
D2391	Resin-based composite - one surface, posterior, primary or permanent	18	12	$213.21
D1206	Topical application of fluoride varnish	94	94	$210.49
D0350		15	15	$0.00