Dental
Bernal, David
Bernal, David was paid $1.63M by Medicaid between Mar 2019 and Dec 2024, across 23 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 13% of everything it billed.
33Billing provider infoBERNAL, DAVID
PORT ARTHUR, TX 77640
PORT ARTHUR, TX 77640
33aNPI1245437102assigned 07/02/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.63M
24GClaims68,913
24DCodes billed23
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#213 of 2,774
Median peer was paid$43K
This provider vs. median38×
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 | 50 | $834.46 | |
| 2020 | 1,960 | $47K | |
| 2021 | 17,223 | $410K | |
| 2022 | 17,723 | $409K | |
| 2023 | 18,210 | $436K | |
| 2024incomplete | 13,747 | $331K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 13% | 1,565 | 1,553 | $219K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 7,636 | 7,583 | $217K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 5,654 | 5,616 | $205K |
| D1110 | Prophylaxis - adult | 7.8% | 2,360 | 2,344 | $128K |
| D1351 | Sealant - per tooth | 7.4% | 4,505 | 547 | $121K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 10,138 | 7,639 | $114K |
| D0272 | Bitewings - two radiographic images | 7.0% | 4,921 | 4,896 | $114K |
| D1206 | Topical application of fluoride varnish | 6.4% | 7,237 | 7,185 | $105K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 8,062 | 7,982 | $100K |
| D0274 | Bitewings - four radiographic images | 4.9% | 2,369 | 2,355 | $80K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.3% | 472 | 332 | $70K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 904 | 716 | $69K |
11 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 1,768 | $47K |
| D0330 | Panoramic radiographic image | <1% | 250 | $15K |
| D0140 | Limited oral evaluation - problem focused | <1% | 551 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 656 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 84 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 53 | $2K |
| D0270 | <1% | 31 | $147.45 | |
| D0601 | 0% | 3,839 | $0.00 | |
| D0602 | 0% | 4,202 | $0.00 | |
| D0603 | 0% | 1,443 | $0.00 | |
| D9986 | 0% | 213 | $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.