Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Fernandez, Jose

Fernandez, Jose was paid $256K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.

33Billing provider infoFERNANDEZ, JOSE
AGUADILLA, PR 00603
33aNPI1295702165assigned 03/01/2006
28Total paid$256K
24GClaims16,412
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#152 of 551
Median peer was paid$99K
This provider vs. median2.6×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20182,372$22K
20193,027$40K
20202,197$36K
20212,756$45K
20221,883$32K
20231,897$36K
2024incomplete2,280$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 28% 2,693 2,494 $71K
D0150 Comprehensive oral evaluation - new or established patient 14% 1,712 1,599 $37K
D1999 13% 2,047 1,773 $32K
D0272 Bitewings - two radiographic images 11% 2,023 1,881 $29K
D0230 Intraoral - periapical each additional radiographic image 8.8% 3,618 1,765 $23K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.3% 1,390 1,264 $19K
D0220 Intraoral - periapical first radiographic image 5.8% 2,015 1,869 $15K
D7140 Extraction, erupted tooth or exposed root 5.4% 306 226 $14K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 3.9% 104 85 $10K
D1208 Topical application of fluoride, excluding varnish 2.0% 364 312 $5K
D1120 Dental cleaning, childProphylaxis - child <1% 140 116 $3K

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.