Dental
Hermosillo, Elizabeth
Hermosillo, Elizabeth was paid $41K by Medicaid between Jan 2018 and Apr 2023, across 5 billing codes. Its largest line is D9920, — 50% of everything it billed.
33Billing provider infoHERMOSILLO, ELIZABETH
SAN FERNANDO, CA 91340
SAN FERNANDO, CA 91340
33aNPI1164659272assigned 06/16/2009
33bProvider typeDental Hygienist
28Total paid$41K
24GClaims1,058
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Dental Hygienist providers in California
Rank by total paid#61 of 105
Median peer was paid$72K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2018 | 195 | $8K | |
| 2019 | 247 | $11K | |
| 2020 | 12 | $336.00 | |
| 2021 | 290 | $9K | |
| 2022 | 191 | $7K | |
| 2023 | 123 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 50% | 207 | 205 | $20K | |
| D9410 | 25% | 358 | 343 | $10K | |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 172 | 160 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 142 | 125 | $2K |
| D1206 | Topical application of fluoride varnish | 5.2% | 179 | 179 | $2K |
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.