Dental
Bolanis, Anna
Bolanis, Anna was paid $58K by Medicaid between Jan 2018 and Jun 2022, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 57% of everything it billed.
33Billing provider infoBOLANIS, ANNA
COLCHESTER, VT 05446
COLCHESTER, VT 05446
33aNPI1164571402assigned 01/09/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$58K
24GClaims2,071
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other General Practice Dentistry providers in Vermont
Rank by total paid#43 of 88
Median peer was paid$57K
This provider vs. median1.0×
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 | 571 | $16K | |
| 2019 | 465 | $13K | |
| 2020 | 288 | $8K | |
| 2021 | 499 | $14K | |
| 2022 | 248 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 57% | 763 | 731 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 37% | 1,171 | 1,133 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 69 | 68 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 56 | 56 | $840.00 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $186.00 |
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.