Fernandez, Pablo

Fernandez, Pablo was paid $16K by Medicaid between Oct 2019 and Mar 2023, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoFERNANDEZ, PABLO
MILWAUKEE, WI 53233

33aNPI1164808895assigned 08/05/2015

33bProvider typeDentist

28Total paid$16K

24GClaims869

24DCodes billed8

24AFirst – last monthOct 2019 – Mar 2023

Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#113 of 185

Median peer was paid$28K

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
2019	86	$890.99
2020	61	$463.69
2021	399	$7K
2022	238	$5K
2023	85	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	47%	336	328	$7K
D1206	Topical application of fluoride varnish	24%	364	359	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	15%	40	25	$2K
D0210	Intraoral - complete series of radiographic images	8.6%	29	29	$1K
D0150	Comprehensive oral evaluation - new or established patient	4.1%	29	28	$636.85
D0220	Intraoral - periapical first radiographic image	<1%	13	13	$99.12
D1330		0%	45	44	$0.00
D0425		0%	13	13	$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.