Medicaid Provider Spending

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

KOLONSKY, EDWARD

NPI: 1730128331 · SHENANDOAH, PA 17976 · General Practice Dentistry · NPI assigned 06/06/2006

$20K
Total Medicaid Paid
754
Total Claims
749
Beneficiary Records
7
Codes Billed
2020-10
First Month
2021-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 108 $3K
2021 646 $17K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D9110 213 209 $6K
D1110 Prophylaxis - adult 150 150 $5K
D0120 Periodic oral evaluation - established patient 205 204 $4K
D0330 Panoramic radiographic image 40 40 $1K
D0150 Comprehensive oral evaluation - new or established patient 68 68 $1K
D1208 Topical application of fluoride, excluding varnish 66 66 $1K
D1120 Prophylaxis - child 12 12 $360.00