POLIVKA, JENNI
NPI: 1831674274
· DENVER, CO 80221
· Dental Hygienist
· NPI assigned 10/02/2018
$190K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
409 |
$52K |
| 2019 |
1,100 |
$137K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
697 |
412 |
$154K |
| D1206 |
Topical application of fluoride varnish |
687 |
408 |
$29K |
| D0190 |
|
125 |
68 |
$7K |