Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EDWARD J. KOLONSKY DMD PC

NPI: 1720422009 · SHENANDOAH, PA 17976 · General Practice Dentistry · NPI assigned 04/17/2013

$5K
Total Medicaid Paid
210
Total Claims
207
Beneficiary Records
3
Codes Billed
2024-02
First Month
2024-07
Last Month

Provider Details

Authorized OfficialKOLONSKY, EDWARD (PRESIDENT/SECRETARY)
NPI Enumeration Date04/17/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 210 $5K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 68 67 $2K
D0120 Periodic oral evaluation - established patient 114 113 $2K
D1208 Topical application of fluoride, excluding varnish 28 27 $524.16