Fernandez Vial, Diego

Fernandez Vial, Diego was paid $40K by Medicaid between Aug 2023 and Apr 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.

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
2023	2,060	$26K
2024incomplete	1,654	$14K

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	24%	277	101	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	424	342	$4K
D1110	Prophylaxis - adult	9.7%	184	150	$4K
D1351	Sealant - per tooth	9.1%	297	86	$4K
D0274	Bitewings - four radiographic images	8.4%	253	209	$3K
D0145	Oral evaluation for a patient under three years of age	6.8%	46	41	$3K
D1120	Dental cleaning, childProphylaxis - child	6.8%	201	161	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.8%	70	29	$2K
D1208	Topical application of fluoride, excluding varnish	5.5%	408	330	$2K
D0220	Intraoral - periapical first radiographic image	4.8%	439	352	$2K
D0230	Intraoral - periapical each additional radiographic image	4.3%	434	344	$2K
D0272	Bitewings - two radiographic images	3.3%	159	117	$1K

1 more codes

D0603

0%

522

$0.00

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.