Dental
Hernandez, Mario
Hernandez, Mario was paid $313K by Medicaid between Nov 2023 and Dec 2024, across 17 billing codes. Its largest line is D1351, Sealant - per tooth — 19% of everything it billed.
33Billing provider infoHERNANDEZ, MARIO
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
33aNPI1891470134assigned 06/15/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$313K
24GClaims11,485
24DCodes billed17
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#347 of 1,017
Median peer was paid$123K
This provider vs. median2.5×
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 | 1,714 | $49K | |
| 2024incomplete | 9,771 | $264K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 19% | 1,175 | 389 | $59K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,081 | 1,080 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,210 | 1,210 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 9.0% | 1,045 | 1,044 | $28K |
| D1110 | Prophylaxis - adult | 7.8% | 526 | 526 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 922 | 920 | $23K |
| D0274 | Bitewings - four radiographic images | 5.6% | 950 | 949 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 279 | 197 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 231 | 112 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 1,532 | 1,517 | $10K |
| D4341 | 2.9% | 78 | 30 | $9K | |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 306 | 305 | $9K |
5 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 1,516 | $8K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 277 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 107 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 223 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 27 | $2K |
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.