Dental
Kathryn Polyakov DMD PC
Kathryn Polyakov DMD PC was paid $173K by Medicaid between Feb 2018 and Jan 2023, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoKATHRYN POLYAKOV DMD PC
FRAMINGHAM, MA 01702
FRAMINGHAM, MA 01702
33aNPI1265580237assigned 01/08/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$173K
24GClaims4,902
24DCodes billed12
24AFirst – last monthFeb 2018 – Jan 2023
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#273 of 693
Median peer was paid$87K
This provider vs. median2.0×
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 | 372 | $14K | |
| 2019 | 441 | $16K | |
| 2020 | 821 | $27K | |
| 2021 | 1,432 | $53K | |
| 2022 | 1,723 | $60K | |
| 2023 | 113 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 1,085 | 1,056 | $55K |
| D0140 | Limited oral evaluation - problem focused | 24% | 1,053 | 998 | $41K |
| D0210 | Intraoral - complete series of radiographic images | 10.0% | 248 | 240 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.8% | 318 | 309 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 7.6% | 897 | 858 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 543 | 534 | $12K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.9% | 63 | 42 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 513 | 306 | $6K |
| D0274 | Bitewings - four radiographic images | 1.6% | 70 | 69 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 79 | 78 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 17 | 17 | $825.00 |
| D1999 | 0% | 16 | 15 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialPOLYAKOV, KATHRYN (DENTIST/OWNER)