Dental
Hernandez, Anthony
Hernandez, Anthony was paid $909K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoHERNANDEZ, ANTHONY
MADISON, WI 53718
MADISON, WI 53718
33aNPI1972614154assigned 08/31/2006
33bProvider typePediatric Dentist
28Total paid$909K
24GClaims24,890
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Wisconsin
Rank by total paid#14 of 61
Median peer was paid$85K
This provider vs. median11×
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 | 4,477 | $132K | |
| 2019 | 3,910 | $124K | |
| 2020 | 1,907 | $35K | |
| 2021 | 2,896 | $107K | |
| 2022 | 3,891 | $163K | |
| 2023 | 3,809 | $199K | |
| 2024incomplete | 4,000 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,004 | 425 | $125K |
| D9420 | 13% | 451 | 443 | $115K | |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 3,671 | 3,651 | $98K |
| D1206 | Topical application of fluoride varnish | 10% | 5,619 | 5,591 | $92K |
| D7140 | Extraction, erupted tooth or exposed root | 9.4% | 810 | 283 | $85K |
| D1110 | Prophylaxis - adult | 6.2% | 1,633 | 1,630 | $56K |
| D0272 | Bitewings - two radiographic images | 6.0% | 2,869 | 2,851 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 2,829 | 2,818 | $53K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.6% | 225 | 86 | $51K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 882 | 812 | $41K |
| D1351 | Sealant - per tooth | 4.4% | 1,582 | 436 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 1,242 | 1,232 | $30K |
6 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 260 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 327 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 538 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 578 | $10K |
| D0240 | <1% | 339 | $6K | |
| D0274 | Bitewings - four radiographic images | <1% | 31 | $820.98 |
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.