Kolosionek, Jerry

Kolosionek, Jerry was paid $718.24 by Medicaid between Mar 2018 and Apr 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 67% of everything it billed.

33Billing provider infoKOLOSIONEK, JERRY
MEDINA, OH 44256

33aNPI1396842209assigned 09/20/2006

33bProvider typeDentist

28Total paid$718.24

24GClaims40

24DCodes billed2

24AFirst – last monthMar 2018 – Apr 2018

Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#674 of 745

Median peer was paid$38K

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
2018	40	$718.24

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	67%	28	28	$478.24
D0274	Bitewings - four radiographic images	33%	12	12	$240.00

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.