Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JERRY HERNANDEZ DDS INC

NPI: 1043957764 · TEMECULA, CA 92590 · General Practice Dentistry · NPI assigned 05/14/2022

$7K
Total Medicaid Paid
209
Total Claims
139
Beneficiaries
3
Codes Billed
2023-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialHERNANDEZ, JERRY (DENTIS)
NPI Enumeration Date05/14/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 209 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 56 56 $4K
D0210 Intraoral - complete series of radiographic images 53 53 $3K
D0350 100 30 $931.20