Dental
Hernandez-Gil, Jose
Hernandez-Gil, Jose was paid $3K by Medicaid between Mar 2023 and Mar 2023, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoHERNANDEZ-GIL, JOSE
WEST VALLEY CITY, UT 84120
WEST VALLEY CITY, UT 84120
33aNPI1740416379assigned 06/10/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims139
24DCodes billed6
24AFirst – last monthMar 2023 – Mar 2023
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#169 of 225
Median peer was paid$21K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 139 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 22 | 22 | $808.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 44 | 22 | $465.93 |
| D1206 | Topical application of fluoride varnish | 15% | 22 | 22 | $388.27 |
| D0272 | Bitewings - two radiographic images | 14% | 15 | 15 | $358.12 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 14 | 14 | $310.96 |
| D0220 | Intraoral - periapical first radiographic image | 11% | 22 | 22 | $296.58 |
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.