Dental
Polivka, Jenni
Polivka, Jenni was paid $190K by Medicaid between Oct 2018 and May 2019, across 3 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 81% of everything it billed.
33Billing provider infoPOLIVKA, JENNI
DENVER, CO 80221
DENVER, CO 80221
33aNPI1831674274assigned 10/02/2018
33bProvider typeDental Hygienist
28Total paid$190K
24GClaims1,509
24DCodes billed3
24AFirst – last monthOct 2018 – May 2019
Compared with peers
Next to other Dental Hygienist providers in Colorado
Rank by total paid#14 of 69
Median peer was paid$23K
This provider vs. median8.1×
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 | 409 | $52K | |
| 2019 | 1,100 | $137K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 81% | 697 | 412 | $154K |
| D1206 | Topical application of fluoride varnish | 15% | 687 | 408 | $29K |
| D0190 | 3.6% | 125 | 68 | $7K |
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.