Peoria Oral & Implant Surgery PLLC

Peoria Oral & Implant Surgery PLLC was paid $1.06M by Medicaid between Jan 2018 and Jun 2021, across 10 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 36% of everything it billed.

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	1,227	$115K
2019	2,002	$223K
2020	3,290	$456K
2021	1,956	$261K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	36%	1,446	535	$383K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	19%	890	810	$198K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	15%	1,066	519	$163K
D9222		8.0%	856	786	$84K
D0330	Panoramic radiographic image	6.8%	1,465	1,442	$72K
D0150	Comprehensive oral evaluation - new or established patient	5.5%	1,574	1,547	$58K
D7230		4.1%	191	130	$43K
D9219		3.1%	854	832	$33K
D7220		2.1%	120	70	$22K
D9310		<1%	13	12	$483.60

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 officialPOLLACCIA, NINO (OWNER)