Dental
Pollina, Samuel
Pollina, Samuel was paid $1.23M by Medicaid between Oct 2020 and Dec 2024, across 27 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 26% of everything it billed.
33Billing provider infoPOLLINA, SAMUEL
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
33aNPI1427030287assigned 11/17/2005
33bProvider typeDentist
28Total paid$1.23M
24GClaims31,083
24DCodes billed27
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#19 of 683
Median peer was paid$34K
This provider vs. median36×
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 | |
|---|---|---|---|
| 2020 | 2,773 | $122K | |
| 2021 | 16,098 | $671K | |
| 2024incomplete | 12,212 | $436K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 26% | 5,299 | 1,760 | $324K |
| D1110 | Prophylaxis - adult | 11% | 3,966 | 3,923 | $139K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.8% | 1,760 | 1,158 | $96K |
| D0274 | Bitewings - four radiographic images | 6.8% | 3,052 | 3,005 | $83K |
| D0330 | Panoramic radiographic image | 6.5% | 2,276 | 2,238 | $80K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 3,209 | 3,194 | $62K |
| D2160 | 4.7% | 903 | 703 | $58K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 2,405 | 2,366 | $47K |
| D1351 | Sealant - per tooth | 3.1% | 1,462 | 257 | $38K |
| D2332 | 2.9% | 557 | 352 | $36K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 778 | 738 | $36K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.9% | 78 | 72 | $36K |
15 more codes
| D1120 | Dental cleaning, child | 2.6% | 1,048 | $32K |
| D2140 | 2.6% | 712 | $32K | |
| D2335 | 2.0% | 367 | $24K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 1,218 | $24K |
| D5110 | 1.8% | 45 | $22K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.4% | 56 | $18K |
| D2330 | <1% | 227 | $11K | |
| D0272 | Bitewings - two radiographic images | <1% | 553 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 955 | $7K |
| D5214 | <1% | 13 | $7K | |
| D5120 | <1% | 13 | $6K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 41 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 66 | $642.15 |
| D1330 | <1% | 12 | $152.88 | |
| D1310 | <1% | 12 | $150.00 |
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.