Castello Polo, Blanca

Castello Polo, Blanca was paid $11K by Medicaid between Jan 2020 and Feb 2020, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 67% of everything it billed.

33Billing provider infoCASTELLO POLO, BLANCA
SUNRISE, FL 33313

33aNPI1710380316assigned 09/27/2014

33bProvider typeDentist

28Total paid$11K

24GClaims551

24DCodes billed10

24AFirst – last monthJan 2020 – Feb 2020

Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#332 of 542

Median peer was paid$25K

This provider vs. median0.4×

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	551	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	67%	69	69	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	32	31	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.8%	36	12	$519.55
D1110	Prophylaxis - adult	<1%	74	74	$31.95
D0230	Intraoral - periapical each additional radiographic image	0%	41	39	$0.00
D1208	Topical application of fluoride, excluding varnish	0%	85	84	$0.00
D1330		0%	84	83	$0.00
D0210	Intraoral - complete series of radiographic images	0%	68	68	$0.00
D0220	Intraoral - periapical first radiographic image	0%	43	40	$0.00
D0274	Bitewings - four radiographic images	0%	19	19	$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.