Poltera, Ronald

Poltera, Ronald was paid $2K by Medicaid between Jan 2018 and Mar 2018, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.

33Billing provider infoPOLTERA, RONALD
WINFIELD, KS 67156

33aNPI1093822215assigned 08/24/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims110

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#168 of 203

Median peer was paid$40K

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
2018	110	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	50%	54	53	$990.50
D1208	Topical application of fluoride, excluding varnish	32%	44	43	$646.00
D1120	Dental cleaning, childProphylaxis - child	18%	12	12	$360.00

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.