KOLOSIONEK, JERRY
NPI: 1396842209
· MEDINA, OH 44256
· Dentist
· NPI assigned 09/20/2006
$718.24
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$718.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$478.24 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$240.00 |