Clinic
Ellen Polsky, DDS
Ellen Polsky, DDS was paid $52K by Medicaid between Jul 2023 and Dec 2024, across 11 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 52% of everything it billed.
33Billing provider infoELLEN POLSKY, DDS
SHORELINE, WA 98133
SHORELINE, WA 98133
33aNPI1447972567assigned 09/15/2022
33bProvider typeDental Clinic/Center
28Total paid$52K
24GClaims1,642
24DCodes billed11
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#112 of 143
Median peer was paid$573K
This provider vs. median0.1×
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 | 60 | $740.21 | |
| 2024incomplete | 1,582 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 52% | 131 | 24 | $27K |
| D9630 | 10% | 121 | 118 | $5K | |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 190 | 187 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 105 | 102 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 73 | 72 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 226 | 217 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 44 | 44 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 624 | 214 | $1K |
| D1206 | Topical application of fluoride varnish | 2.1% | 38 | 37 | $1K |
| D9999 | Unspecified adjunctive procedure, by report | 1.9% | 28 | 28 | $1K |
| D0272 | Bitewings - two radiographic images | 1.2% | 62 | 60 | $627.69 |
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 officialPOLSKY, ELLEN (OWNER)