Dental
Vivian Fernandez Dds.Inc
Vivian Fernandez Dds.Inc was paid $851K by Medicaid between Sep 2018 and Jun 2023, across 26 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoVIVIAN FERNANDEZ DDS.INC
ELK GROVE, CA 95624
ELK GROVE, CA 95624
33aNPI1255836599assigned 03/28/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$851K
24GClaims24,082
24DCodes billed26
24AFirst – last monthSep 2018 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#635 of 2,668
Median peer was paid$173K
This provider vs. median4.9×
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 | 337 | $12K | |
| 2019 | 1,997 | $73K | |
| 2020 | 4,700 | $161K | |
| 2021 | 6,467 | $222K | |
| 2022 | 7,198 | $265K | |
| 2023 | 3,383 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 1,778 | 1,686 | $138K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,006 | 988 | $121K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 2,086 | 1,972 | $116K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.5% | 1,143 | 645 | $81K |
| D0210 | Intraoral - complete series of radiographic images | 7.9% | 1,544 | 1,456 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 1,162 | 1,136 | $54K |
| D1206 | Topical application of fluoride varnish | 5.3% | 1,779 | 1,726 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 1,195 | 1,149 | $45K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 3,171 | 1,461 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 510 | 313 | $25K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.9% | 245 | 135 | $25K |
| D0274 | Bitewings - four radiographic images | 2.8% | 1,138 | 1,101 | $23K |
14 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 1,955 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 1,153 | $15K |
| D9430 | 1.7% | 484 | $14K | |
| D2740 | Crown - porcelain/ceramic | 1.3% | 24 | $11K |
| D1999 | <1% | 1,257 | $6K | |
| D1310 | <1% | 416 | $6K | |
| D1351 | Sealant - per tooth | <1% | 109 | $4K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 27 | $2K |
| D0601 | <1% | 236 | $1K | |
| D0330 | Panoramic radiographic image | <1% | 31 | $930.00 |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 148 | $520.00 |
| D9993 | <1% | 421 | $260.00 | |
| D0603 | <1% | 42 | $195.00 | |
| D9986 | 0% | 22 | $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.
From NPPES
Who's on the registration
Authorized officialFERNANDEZ, VIVIAN (OWNER)