Dental
Espinosa, Ernesto
Espinosa, Ernesto was paid $191K by Medicaid between Apr 2021 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoESPINOSA, ERNESTO
HARTFORD, WI 53027
HARTFORD, WI 53027
33aNPI1407239619assigned 07/07/2015
33bProvider typeDentist
28Total paid$191K
24GClaims3,922
24DCodes billed16
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#47 of 185
Median peer was paid$28K
This provider vs. median6.8×
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 | |
|---|---|---|---|
| 2021 | 265 | $14K | |
| 2022 | 687 | $32K | |
| 2023 | 1,394 | $75K | |
| 2024incomplete | 1,576 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 248 | 160 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 371 | 349 | $25K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 10% | 82 | 63 | $19K |
| D1110 | Prophylaxis - adult | 9.9% | 279 | 268 | $19K |
| D1206 | Topical application of fluoride varnish | 9.1% | 499 | 479 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 411 | 393 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.1% | 243 | 231 | $12K |
| D0330 | Panoramic radiographic image | 4.3% | 122 | 106 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 50 | 37 | $7K |
| D0274 | Bitewings - four radiographic images | 3.2% | 117 | 111 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 210 | 180 | $5K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 93 | 82 | $5K |
4 more codes
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.