POLLACCIA, NINO
NPI: 1356462188
· PEORIA, AZ 85383
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/02/2007
$247K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
678 |
$97K |
| 2019 |
1,166 |
$150K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
521 |
198 |
$136K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
266 |
252 |
$50K |
| D9222 |
|
264 |
251 |
$23K |
| D0330 |
Panoramic radiographic image |
284 |
281 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
295 |
293 |
$11K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
44 |
28 |
$7K |
| D9219 |
|
170 |
167 |
$6K |