Dental
Kolchansky Dental Corporation
Kolchansky Dental Corporation was paid $1K by Medicaid between Jan 2018 and Sep 2020, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 60% of everything it billed.
33Billing provider infoKOLCHANSKY DENTAL CORPORATION
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
33aNPI1538295126assigned 02/26/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims128
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,475 of 2,668
Median peer was paid$173K
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 | 103 | $693.00 | |
| 2020 | 25 | $771.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 60% | 28 | 28 | $879.00 |
| D1206 | Topical application of fluoride varnish | 19% | 26 | 26 | $280.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 59 | 16 | $165.00 |
| D0272 | Bitewings - two radiographic images | 9.6% | 15 | 15 | $140.00 |
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.
From NPPES
Who's on the registration
Authorized officialKOLCHANSKY, MARK (DENTIST)