Dental
Ray L Pollack & Associates DDS PA
Ray L Pollack & Associates DDS PA was paid $86K by Medicaid between Sep 2018 and Mar 2022, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 58% of everything it billed.
33Billing provider infoRAY L POLLACK & ASSOCIATES DDS PA
MELBOURNE, FL 32901
MELBOURNE, FL 32901
33aNPI1265573638assigned 02/09/2007
33bProvider typePediatric Dentist
28Total paid$86K
24GClaims5,610
24DCodes billed19
24AFirst – last monthSep 2018 – Mar 2022
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#133 of 246
Median peer was paid$107K
This provider vs. median0.8×
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 | 846 | $18K | |
| 2019 | 142 | $3K | |
| 2021 | 1,862 | $27K | |
| 2022 | 2,760 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 58% | 720 | 719 | $49K |
| D0330 | Panoramic radiographic image | 27% | 232 | 231 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.6% | 107 | 87 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 55 | 55 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 92 | 86 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 15 | 12 | $524.71 |
| D1351 | Sealant - per tooth | <1% | 248 | 71 | $522.60 |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 26 | 26 | $520.00 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 563 | 559 | $194.24 |
| D1110 | Prophylaxis - adult | <1% | 300 | 300 | $130.75 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 916 | 912 | $114.45 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 209 | 206 | $98.11 |
7 more codes
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 officialPOLLOCK, RAYMOND (PRESIDENT)