Dental
Kotary, Edmond
Kotary, Edmond was paid $301.35 by Medicaid between Mar 2024 and Mar 2024, across 1 billing code. Its largest line is D0140, Limited oral evaluation - problem focused — 100% of everything it billed.
33Billing provider infoKOTARY, EDMOND
STATE COLLEGE, PA 16803
STATE COLLEGE, PA 16803
33aNPI1174797997assigned 04/14/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$301.35
24GClaims12
24DCodes billed1
24AFirst – last monthMar 2024 – Mar 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#812 of 847
Median peer was paid$37K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 12 | $301.35 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 100% | 12 | 12 | $301.35 |
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.