Dental
Polished DNTL LLC
Polished DNTL LLC was paid $3.42M by Medicaid between Sep 2019 and Dec 2024, across 8 billing codes. Its largest line is D1351, Sealant - per tooth — 34% of everything it billed.
33Billing provider infoPOLISHED DNTL LLC
CHATHAM, MA 02633
CHATHAM, MA 02633
33aNPI1124672779assigned 07/31/2019
33bProvider typeDental Hygienist
28Total paid$3.42M
24GClaims108,909
24DCodes billed8
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Dental Hygienist providers in Massachusetts
Rank by total paid#2 of 15
Median peer was paid$103K
This provider vs. median33×
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 | |
|---|---|---|---|
| 2019 | 13,785 | $470K | |
| 2020 | 3,710 | $126K | |
| 2021 | 8,665 | $317K | |
| 2022 | 29,303 | $823K | |
| 2023 | 29,414 | $891K | |
| 2024incomplete | 24,032 | $790K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 34% | 30,831 | 8,705 | $1.16M |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 16,014 | 14,572 | $774K |
| D0190 | 20% | 27,674 | 24,878 | $693K | |
| D1206 | Topical application of fluoride varnish | 20% | 27,071 | 24,343 | $669K |
| D1354 | 2.3% | 6,202 | 1,755 | $79K | |
| D1110 | Prophylaxis - adult | <1% | 337 | 325 | $20K |
| D9450 | <1% | 603 | 601 | $17K | |
| D9410 | <1% | 177 | 172 | $6K |
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.
From NPPES
Who's on the registration
Authorized officialGOULD, ELLEN (OWNER)