Dental
Calvo Hernandez, Gelsy
Calvo Hernandez, Gelsy was paid $82K by Medicaid between Aug 2021 and Dec 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 49% of everything it billed.
33Billing provider infoCALVO HERNANDEZ, GELSY
SCHERERVILLE, IN 46375
SCHERERVILLE, IN 46375
33aNPI1134737026assigned 07/17/2020
33bProvider typeDentist
28Total paid$82K
24GClaims2,903
24DCodes billed9
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#213 of 452
Median peer was paid$59K
This provider vs. median1.4×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 50 | $2K | |
| 2022 | 963 | $24K | |
| 2023 | 1,011 | $29K | |
| 2024incomplete | 879 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 49% | 953 | 943 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 697 | 689 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 460 | 454 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 51 | 25 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 317 | 309 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 67 | 67 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 298 | 283 | $1K |
| D0274 | Bitewings - four radiographic images | 1.1% | 47 | 41 | $917.24 |
| D0330 | Panoramic radiographic image | <1% | 13 | 13 | $336.00 |
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.