Herce, David

Herce, David was paid $646K by Medicaid between Nov 2018 and Sep 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoHERCE, DAVID
VIRGINIA BEACH, VA 23456

33aNPI1477842243assigned 04/01/2011

33bProvider typePediatric Dentist

28Total paid$646K

24GClaims28,795

24DCodes billed21

24AFirst – last monthNov 2018 – Sep 2024

Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#43 of 140

Median peer was paid$234K

This provider vs. median2.8×

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
2018	68	$2K
2019	1,759	$46K
2020	3,630	$100K
2021	6,451	$173K
2022	7,472	$212K
2023	6,626	$112K
2024incomplete	2,789	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	7,018	6,945	$196K
D1206	Topical application of fluoride varnish	21%	7,751	7,667	$134K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	5,961	5,907	$95K
D1351	Sealant - per tooth	7.7%	1,567	406	$50K
D0272	Bitewings - two radiographic images	6.6%	2,503	2,467	$43K
D0150	Comprehensive oral evaluation - new or established patient	6.0%	1,262	1,240	$39K
D1110	Prophylaxis - adult	3.2%	581	571	$21K
D0330	Panoramic radiographic image	2.9%	368	365	$19K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.1%	494	474	$14K
D7140	Extraction, erupted tooth or exposed root	<1%	100	52	$6K
D0274	Bitewings - four radiographic images	<1%	220	217	$5K
D0140	Limited oral evaluation - problem focused	<1%	171	166	$4K

9 more codes

D0145	Oral evaluation for a patient under three years of age	<1%	218	$4K
D2930	Prefabricated stainless steel crown - primary tooth	<1%	27	$4K
D0220	Intraoral - periapical first radiographic image	<1%	272	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	29	$3K
D9630		<1%	100	$2K
D9920		<1%	97	$2K
D0210	Intraoral - complete series of radiographic images	<1%	29	$1K
D1208	Topical application of fluoride, excluding varnish	<1%	13	$270.27
D0240		<1%	14	$171.78

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.