Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NOEL A. FERNANDEZ DMD INC

NPI: 1568855583 · VALLEJO, CA 94591 · Preferred Provider Organization · NPI assigned 03/16/2015

$75K
Total Medicaid Paid
3,510
Total Claims
3,144
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFERNANDEZ, NOEL (OWNER/DENTIST)
NPI Enumeration Date03/16/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,889 $35K
2019 1,125 $25K
2020 159 $4K
2021 219 $5K
2022 92 $4K
2024 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 895 893 $34K
D1120 Prophylaxis - child 926 924 $28K
D1208 Topical application of fluoride, excluding varnish 805 801 $7K
D0274 Bitewings - four radiographic images 154 154 $3K
D0230 Intraoral - periapical each additional radiographic image 730 372 $3K