Dental
Pollack, Douglas
Pollack, Douglas was paid $862K by Medicaid between Jan 2018 and Jun 2021, across 21 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 100% of everything it billed.
33Billing provider infoPOLLACK, DOUGLAS
NEW YORK, NY 10016
NEW YORK, NY 10016
33aNPI1972671063assigned 11/30/2006
33bProvider typePediatric Dentist
28Total paid$862K
24GClaims16,936
24DCodes billed21
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#120 of 514
Median peer was paid$196K
This provider vs. median4.4×
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 | 11,672 | $575K | |
| 2019 | 527 | $43K | |
| 2020 | 2,381 | $119K | |
| 2021 | 2,356 | $125K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 100% | 5,950 | 5,627 | $861K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 368 | 195 | $913.76 |
| D0330 | Panoramic radiographic image | <1% | 384 | 384 | $47.50 |
| D1351 | Sealant - per tooth | <1% | 1,188 | 343 | $40.85 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 2,611 | 2,611 | $34.44 |
| D0140 | Limited oral evaluation - problem focused | <1% | 225 | 222 | $28.98 |
| D0274 | Bitewings - four radiographic images | 0% | 225 | 225 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 530 | 529 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 1,394 | 1,394 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 188 | 153 | $0.00 |
| D1354 | 0% | 196 | 75 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 62 | 61 | $0.00 |
9 more codes
| D0272 | Bitewings - two radiographic images | 0% | 784 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 132 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 304 | $0.00 |
| D9310 | 0% | 33 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 1,950 | $0.00 |
| D1310 | 0% | 76 | $0.00 | |
| D1330 | 0% | 77 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 181 | $0.00 |
| D9995 | 0% | 78 | $0.00 |
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.