Dental
Rhoudenko, Polina
Rhoudenko, Polina was paid $480K by Medicaid between Mar 2022 and Dec 2024, across 22 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 23% of everything it billed.
33Billing provider infoRHOUDENKO, POLINA
FULLERTON, CA 92835
FULLERTON, CA 92835
33aNPI1508448861assigned 04/26/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$480K
24GClaims14,619
24DCodes billed22
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#902 of 2,668
Median peer was paid$173K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2022 | 905 | $19K | |
| 2023 | 4,751 | $156K | |
| 2024incomplete | 8,963 | $305K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 23% | 238 | 121 | $112K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 878 | 429 | $58K |
| D9430 | 12% | 1,771 | 1,317 | $56K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 10.0% | 740 | 732 | $48K |
| D1110 | Prophylaxis - adult | 8.1% | 446 | 440 | $39K |
| D0210 | Intraoral - complete series of radiographic images | 5.5% | 562 | 558 | $26K |
| D2954 | 5.1% | 232 | 118 | $24K | |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 1,549 | 1,167 | $18K |
| D0350 | 3.5% | 3,004 | 802 | $17K | |
| D0330 | Panoramic radiographic image | 2.8% | 569 | 554 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 2,892 | 1,363 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 197 | 115 | $11K |
10 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 121 | $9K |
| D1120 | Dental cleaning, child | 1.9% | 176 | $9K |
| D1206 | Topical application of fluoride varnish | 1.8% | 515 | $9K |
| D1320 | 1.7% | 509 | $8K | |
| D0120 | Dental checkup, returning patient | 1.0% | 66 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 24 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 68 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 20 | $800.00 |
| D0274 | Bitewings - four radiographic images | <1% | 18 | $345.60 |
| D0272 | Bitewings - two radiographic images | <1% | 24 | $288.00 |
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.