Noel A. Fernandez DMD INC

Noel A. Fernandez DMD INC was paid $75K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.

33Billing provider infoNOEL A. FERNANDEZ DMD INC
VALLEJO, CA 94591

33aNPI1568855583assigned 03/16/2015

33bProvider typePreferred Provider Organization

28Total paid$75K

24GClaims3,510

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Preferred Provider Organization providers in California

Rank by total paid#53 of 100

Median peer was paid$80K

This provider vs. median0.9×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	45%	895	893	$34K
D1120	Dental cleaning, childProphylaxis - child	38%	926	924	$28K
D1208	Topical application of fluoride, excluding varnish	8.8%	805	801	$7K
D0274	Bitewings - four radiographic images	4.2%	154	154	$3K
D0230	Intraoral - periapical each additional radiographic image	3.7%	730	372	$3K

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.

From NPPES

Who's on the registration

Authorized officialFERNANDEZ, NOEL (OWNER/DENTIST)