Hernandez, Jonathan

Hernandez, Jonathan was paid $4K by Medicaid between May 2022 and May 2022, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.

33Billing provider infoHERNANDEZ, JONATHAN
SAN ANGELO, TX 76904

33aNPI1295345924assigned 08/07/2020

33bProvider typeDentist

28Total paid$4K

24GClaims190

24DCodes billed6

24AFirst – last monthMay 2022 – May 2022

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,248 of 1,678

Median peer was paid$35K

This provider vs. median0.1×

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
2022	190	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	31%	34	33	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	37	35	$1K
D0330	Panoramic radiographic image	17%	14	13	$663.29
D1208	Topical application of fluoride, excluding varnish	14%	39	37	$543.90
D0272	Bitewings - two radiographic images	11%	19	18	$420.84
D0603		0%	47	45	$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.