Dental
Fernandez, Jaime
Fernandez, Jaime was paid $56K by Medicaid between Sep 2020 and Jul 2021, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoFERNANDEZ, JAIME
MELVILLE, NY 11747
MELVILLE, NY 11747
33aNPI1407999139assigned 02/14/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$56K
24GClaims1,608
24DCodes billed12
24AFirst – last monthSep 2020 – Jul 2021
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,069 of 2,184
Median peer was paid$54K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 318 | $14K | |
| 2021 | 1,290 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 264 | 264 | $15K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 24% | 149 | 82 | $13K |
| D0274 | Bitewings - four radiographic images | 12% | 235 | 235 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 199 | 199 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 231 | 230 | $3K |
| D0330 | Panoramic radiographic image | 5.2% | 74 | 74 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 93 | 93 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 47 | 47 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 191 | 191 | $2K |
| D1206 | Topical application of fluoride varnish | 1.7% | 32 | 32 | $960.00 |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 67 | 63 | $938.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 26 | 26 | $364.00 |
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.