Dental
Edward J. Kolonsky DMD PC
Edward J. Kolonsky DMD PC was paid $5K by Medicaid between Feb 2024 and Jul 2024, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.
33Billing provider infoEDWARD J. KOLONSKY DMD PC
SHENANDOAH, PA 17976
SHENANDOAH, PA 17976
33aNPI1720422009assigned 04/17/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims210
24DCodes billed3
24AFirst – last monthFeb 2024 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#646 of 847
Median peer was paid$37K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 210 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 46% | 68 | 67 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 114 | 113 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 28 | 27 | $524.16 |
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 officialKOLONSKY, EDWARD (PRESIDENT/SECRETARY)