Fontes, Fernanda

Fontes, Fernanda was paid $975.40 by Medicaid between Apr 2021 and Apr 2021, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.

33Billing provider infoFONTES, FERNANDA
CHANTILLY, VA 20151

33aNPI1740300904assigned 03/30/2007

33bProvider typePediatric Dentist

28Total paid$975.40

24GClaims40

24DCodes billed3

24AFirst – last monthApr 2021 – Apr 2021

Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#124 of 140

Median peer was paid$234K

This provider vs. median0.0×

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
2021	40	$975.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	41%	12	12	$402.24
D1208	Topical application of fluoride, excluding varnish	30%	14	14	$291.06
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	14	14	$282.10

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.