Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GINGER M POLLACK DMD PC

NPI: 1881748739 · BOLTON, CT 06043 · General Practice Dentistry · NPI assigned 01/22/2007

$10K
Total Medicaid Paid
494
Total Claims
428
Beneficiaries
6
Codes Billed
2018-02
First Month
2019-11
Last Month

Provider Details

Authorized OfficialPOLLACK, GINGER (PRESIDENT)
NPI Enumeration Date01/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 321 $6K
2019 173 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 164 151 $3K
D0120 Periodic oral evaluation - established patient 115 109 $3K
D0220 Intraoral - periapical first radiographic image 101 88 $1K
D0230 Intraoral - periapical each additional radiographic image 73 41 $1K
D0274 Bitewings - four radiographic images 27 26 $1K
D1120 Prophylaxis - child 14 13 $586.04