Dental
Ellen Polsky DDS and Bobby Virk DMD, PS
Ellen Polsky DDS and Bobby Virk DMD, PS was paid $5.78M by Medicaid between Jun 2020 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 26% of everything it billed.
33Billing provider infoELLEN POLSKY DDS AND BOBBY VIRK DMD, PS
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
33aNPI1528603503assigned 11/13/2019
33bProvider typePediatric Dentist
28Total paid$5.78M
24GClaims178,662
24DCodes billed27
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#18 of 156
Median peer was paid$337K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2020 | 17,385 | $286K | |
| 2021 | 32,065 | $870K | |
| 2022 | 42,132 | $1.29M | |
| 2023 | 43,849 | $1.80M | |
| 2024incomplete | 43,231 | $1.53M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 26% | 9,268 | 2,288 | $1.48M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 7,310 | 3,867 | $513K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 13,365 | 13,093 | $367K |
| D2390 | 6.2% | 1,423 | 424 | $356K | |
| D9630 | 6.0% | 7,882 | 7,738 | $347K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 5,690 | 2,965 | $346K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 13,951 | 13,647 | $332K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 15,762 | 15,419 | $326K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.2% | 2,879 | 996 | $300K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 5,044 | 2,279 | $284K |
| D1351 | Sealant - per tooth | 2.6% | 6,488 | 1,878 | $152K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 6,028 | 5,483 | $137K |
15 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 16,466 | $136K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 3,036 | $125K |
| D0272 | Bitewings - two radiographic images | 2.0% | 11,883 | $117K |
| D0330 | Panoramic radiographic image | 1.7% | 2,874 | $96K |
| D9999 | Unspecified adjunctive procedure, by report | 1.6% | 2,976 | $93K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 39,542 | $91K |
| D1110 | Prophylaxis - adult | 1.4% | 2,043 | $83K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,541 | $34K |
| D1999 | <1% | 2,386 | $30K | |
| D3230 | <1% | 168 | $11K | |
| D2330 | <1% | 159 | $10K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 115 | $8K |
| D0274 | Bitewings - four radiographic images | <1% | 254 | $3K |
| D2331 | <1% | 19 | $1K | |
| D9215 | 0% | 110 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialYORK, XENIA (OPERATIONS MANAGER)