Pavolotsky, Konstantin

Pavolotsky, Konstantin was paid $11K by Medicaid between Jan 2018 and Nov 2022, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 66% of everything it billed.

33Billing provider infoPAVOLOTSKY, KONSTANTIN
MAYFIELD HEIGHTS, OH 44124

33aNPI1407864259assigned 08/04/2006

33bProvider typeDentist

28Total paid$11K

24GClaims1,260

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#491 of 745

Median peer was paid$38K

This provider vs. median0.3×

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	453	$4K
2019	445	$3K
2020	196	$2K
2021	109	$850.52
2022	57	$440.84

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	66%	610	589	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	530	515	$3K
D0274	Bitewings - four radiographic images	7.4%	120	119	$840.00

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.