Polaris Dental Specialists

Polaris Dental Specialists was paid $35K by Medicaid between Jan 2018 and Oct 2018, across 4 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 41% of everything it billed.

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	890	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	41%	287	246	$15K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	37%	17	16	$13K
D0220	Intraoral - periapical first radiographic image	14%	286	251	$5K
D0230	Intraoral - periapical each additional radiographic image	7.3%	300	251	$3K

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 officialNGUYEN NGUYEN, TUONG (OWNER)