Dental
Polito, Lauren
Polito, Lauren was paid $13K by Medicaid between Jan 2018 and Aug 2019, across 8 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoPOLITO, LAUREN
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
33aNPI1770868382assigned 10/14/2011
33bProvider typeDentist
28Total paid$13K
24GClaims373
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Dentist providers in Georgia
Rank by total paid#38 of 55
Median peer was paid$64K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2018 | 117 | $4K | |
| 2019 | 256 | $9K |
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 | 31% | 70 | 28 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 119 | 119 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 10% | 17 | 12 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 23 | 23 | $1K |
| D1110 | Prophylaxis - adult | 6.4% | 19 | 19 | $850.82 |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 78 | 75 | $815.24 |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 34 | 34 | $592.72 |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 13 | 13 | $368.81 |
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.