Dental
Fernandez Dominguez, Giselle
Fernandez Dominguez, Giselle was paid $78K by Medicaid between Feb 2020 and Dec 2024, across 19 billing codes. Its largest line is D9920, — 45% of everything it billed.
33Billing provider infoFERNANDEZ DOMINGUEZ, GISELLE
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
33aNPI1235484890assigned 07/19/2012
33bProvider typeDentist
28Total paid$78K
24GClaims7,241
24DCodes billed19
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#191 of 542
Median peer was paid$25K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2020 | 127 | $982.28 | |
| 2021 | 303 | $3K | |
| 2022 | 3,614 | $44K | |
| 2023 | 2,311 | $26K | |
| 2024incomplete | 886 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 45% | 449 | 442 | $36K | |
| D1110 | Prophylaxis - adult | 26% | 661 | 649 | $21K |
| D0330 | Panoramic radiographic image | 13% | 299 | 296 | $10K |
| D0350 | 8.4% | 451 | 445 | $7K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 354 | 349 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 364 | 357 | $994.88 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 18 | 12 | $647.14 |
| D0274 | Bitewings - four radiographic images | <1% | 545 | 534 | $373.10 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 897 | 873 | $266.25 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 584 | 574 | $249.88 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 922 | 898 | $157.02 |
| D1330 | <1% | 934 | 920 | $67.80 |
7 more codes
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.