Dental
Polinski, Elizabeth
Polinski, Elizabeth was paid $95K by Medicaid between May 2019 and Aug 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoPOLINSKI, ELIZABETH
MONTGOMERY, TX 77356
MONTGOMERY, TX 77356
33aNPI1518973965assigned 07/31/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$95K
24GClaims3,430
24DCodes billed11
24AFirst – last monthMay 2019 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,094 of 2,774
Median peer was paid$43K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2019 | 39 | $1K | |
| 2021 | 676 | $18K | |
| 2022 | 1,171 | $31K | |
| 2023 | 957 | $27K | |
| 2024incomplete | 587 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 869 | 869 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 1,099 | 1,099 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 1,052 | 1,052 | $14K |
| D1110 | Prophylaxis - adult | 4.8% | 84 | 84 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 48 | 28 | $4K |
| D1351 | Sealant - per tooth | 2.2% | 56 | 26 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 131 | 131 | $2K |
| D0330 | Panoramic radiographic image | <1% | 26 | 26 | $915.90 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 33 | 31 | $572.67 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 15 | 15 | $540.00 |
| D0272 | Bitewings - two radiographic images | <1% | 17 | 17 | $254.01 |
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.