Dental
Polished Oral Health, LLC
Polished Oral Health, LLC was paid $376K by Medicaid between Jul 2023 and Dec 2024, across 9 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 23% of everything it billed.
33Billing provider infoPOLISHED ORAL HEALTH, LLC
FORT KENT, ME 04743
FORT KENT, ME 04743
33aNPI1346948171assigned 02/21/2023
33bProvider typeDental Hygienist
28Total paid$376K
24GClaims17,966
24DCodes billed9
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Dental Hygienist providers in Maine
Rank by total paid#9 of 33
Median peer was paid$159K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2023 | 5,999 | $124K | |
| 2024incomplete | 11,967 | $252K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 23% | 4,074 | 4,016 | $87K |
| D1330 | 22% | 3,940 | 3,893 | $84K | |
| D1310 | 21% | 3,966 | 3,835 | $77K | |
| D0190 | 20% | 4,264 | 4,195 | $76K | |
| D1351 | Sealant - per tooth | 4.6% | 649 | 183 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 311 | 289 | $15K |
| D1354 | 3.6% | 528 | 169 | $13K | |
| D1355 | <1% | 192 | 56 | $4K | |
| D1110 | Prophylaxis - adult | <1% | 42 | 41 | $3K |
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 officialMORIN, LUCY (OWNER)