Dental
Fernandez, Erginio
Fernandez, Erginio was paid $114K by Medicaid between Jan 2018 and Sep 2021, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoFERNANDEZ, ERGINIO
RANDOLPH, NJ 07869
RANDOLPH, NJ 07869
33aNPI1770809030assigned 04/12/2010
33bProvider typeDentist
28Total paid$114K
24GClaims4,523
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#212 of 674
Median peer was paid$27K
This provider vs. median4.3×
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 | 1,253 | $27K | |
| 2019 | 1,296 | $36K | |
| 2020 | 1,011 | $28K | |
| 2021 | 963 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 737 | 737 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 969 | 969 | $26K |
| D1206 | Topical application of fluoride varnish | 17% | 540 | 539 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 314 | 314 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 214 | 214 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 757 | 756 | $4K |
| D0274 | Bitewings - four radiographic images | 3.4% | 302 | 301 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 583 | 582 | $3K |
| D1351 | Sealant - per tooth | 1.5% | 70 | 12 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | 25 | $972.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $648.00 |
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.