Dental
Paul M Polyviou DDS, P.C.
Paul M Polyviou DDS, P.C. was paid $44K by Medicaid between Jan 2018 and May 2018, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoPAUL M POLYVIOU DDS, P.C.
LINCOLN PARK, MI 48146
LINCOLN PARK, MI 48146
33aNPI1538285150assigned 03/22/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$44K
24GClaims1,025
24DCodes billed12
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#525 of 1,554
Median peer was paid$15K
This provider vs. median3.0×
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 | 1,025 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 53 | 28 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 106 | 105 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 61 | 28 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 104 | 102 | $4K |
| D9920 | 8.8% | 65 | 62 | $4K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.5% | 21 | 12 | $4K |
| D0240 | 7.0% | 143 | 73 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 221 | 108 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 125 | 119 | $2K |
| D1206 | Topical application of fluoride varnish | 5.3% | 83 | 83 | $2K |
| D0140 | Limited oral evaluation - problem focused | 4.3% | 30 | 29 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 13 | 13 | $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.
From NPPES
Who's on the registration
Authorized officialPOLYVIOU, PAUL (PRESIDENT)