Dental
Heresi, Carlos
Heresi, Carlos was paid $342K by Medicaid between Jan 2018 and Jun 2023, across 15 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 25% of everything it billed.
33Billing provider infoHERESI, CARLOS
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
33aNPI1396943106assigned 07/03/2007
33bProvider typeDentist
28Total paid$342K
24GClaims10,222
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#74 of 417
Median peer was paid$34K
This provider vs. median10×
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 | 327 | $4K | |
| 2019 | 715 | $11K | |
| 2020 | 1,457 | $47K | |
| 2021 | 3,010 | $108K | |
| 2022 | 2,000 | $66K | |
| 2023 | 2,713 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 25% | 644 | 268 | $86K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 550 | 150 | $45K |
| D0330 | Panoramic radiographic image | 10.0% | 600 | 581 | $34K |
| D1110 | Prophylaxis - adult | 9.2% | 590 | 577 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.0% | 2,529 | 1,191 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 8.6% | 2,459 | 2,081 | $29K |
| D0140 | Limited oral evaluation - problem focused | 5.7% | 735 | 697 | $20K |
| D0274 | Bitewings - four radiographic images | 5.5% | 605 | 595 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 337 | 330 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 531 | 527 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 102 | 42 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 370 | 363 | $9K |
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.