Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Polanco Dental P.C.

Polanco Dental P.C. was paid $713K by Medicaid between Jan 2018 and Jun 2021, across 13 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 53% of everything it billed.

33Billing provider infoPOLANCO DENTAL P.C.
NEW YORK, NY 10040
33aNPI1972775047assigned 03/29/2008
28Total paid$713K
24GClaims10,632
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#219 of 2,184
Median peer was paid$54K
This provider vs. median13×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20182,574$191K
20192,849$178K
20203,068$205K
20212,141$139K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 53% 1,456 1,151 $379K
D2332 18% 694 610 $129K
D1110 Prophylaxis - adult 10% 1,708 1,699 $72K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.7% 1,801 1,792 $40K
D0274 Bitewings - four radiographic images 4.3% 1,354 1,351 $30K
D0220 Intraoral - periapical first radiographic image 2.0% 1,582 1,578 $14K
D2394 1.9% 83 56 $13K
D2335 1.4% 54 45 $10K
D0230 Intraoral - periapical each additional radiographic image 1.2% 1,557 1,554 $9K
D0210 Intraoral - complete series of radiographic images <1% 158 158 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 50 44 $5K
D0150 Comprehensive oral evaluation - new or established patient <1% 121 121 $3K
1 more codes
D1120 Dental cleaning, child <1% 14 $546.27

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.

From NPPES

Who's on the registration

Authorized officialSALCEDO, CARMEN (PRESIDENT)
Same official

Other billing entities under SALCEDO, CARMEN

Full network →
ProviderLocationPaid
Salcedo Chiropractic LLCBayamon, PR$23K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.