Dental
Polk, Lexi
Polk, Lexi was paid $944K by Medicaid between Jan 2018 and May 2023, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoPOLK, LEXI
RICHLAND, MS 39218
RICHLAND, MS 39218
33aNPI1447272802assigned 07/24/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$944K
24GClaims35,219
24DCodes billed19
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#39 of 379
Median peer was paid$78K
This provider vs. median12×
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 | 18,120 | $422K | |
| 2019 | 6,488 | $171K | |
| 2020 | 4,890 | $162K | |
| 2021 | 2,803 | $86K | |
| 2022 | 2,002 | $67K | |
| 2023 | 916 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 7,393 | 6,116 | $160K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 4,413 | 3,948 | $143K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 1,865 | 760 | $121K |
| D1208 | Topical application of fluoride, excluding varnish | 9.7% | 7,363 | 6,091 | $92K |
| D0274 | Bitewings - four radiographic images | 9.2% | 3,964 | 3,122 | $87K |
| D0330 | Panoramic radiographic image | 7.9% | 1,707 | 1,481 | $74K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.1% | 770 | 420 | $67K |
| D1351 | Sealant - per tooth | 5.9% | 3,350 | 587 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 2,591 | 1,957 | $50K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.1% | 218 | 57 | $29K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.3% | 262 | 106 | $22K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.8% | 173 | 38 | $17K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 241 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 286 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 278 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 258 | $3K |
| D2140 | <1% | 36 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 26 | $2K |
| D1110 | Prophylaxis - adult | <1% | 25 | $1K |
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.