Polise, Eric

Polise, Eric was paid $21K by Medicaid between Mar 2018 and May 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.

33Billing provider infoPOLISE, ERIC
GENEVA, NY 14456

33aNPI1780707869assigned 04/06/2007

33bProvider typeDentist

28Total paid$21K

24GClaims660

24DCodes billed4

24AFirst – last monthMar 2018 – May 2024

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,023 of 1,649

Median peer was paid$49K

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
2018	61	$2K
2019	80	$2K
2020	142	$5K
2021	143	$5K
2022	57	$2K
2023	95	$3K
2024incomplete	82	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	55%	449	448	$12K
D1110	Prophylaxis - adult	44%	187	186	$9K
D0230	Intraoral - periapical each additional radiographic image	<1%	12	12	$169.70
D1208	Topical application of fluoride, excluding varnish	<1%	12	12	$169.10

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.