Dental
Kolonsky, Edward
Kolonsky, Edward was paid $20K by Medicaid between Oct 2020 and Oct 2021, across 7 billing codes. Its largest line is D9110, — 31% of everything it billed.
33Billing provider infoKOLONSKY, EDWARD
SHENANDOAH, PA 17976
SHENANDOAH, PA 17976
33aNPI1730128331assigned 06/06/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$20K
24GClaims754
24DCodes billed7
24AFirst – last monthOct 2020 – Oct 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#495 of 847
Median peer was paid$37K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 108 | $3K | |
| 2021 | 646 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9110 | 31% | 213 | 209 | $6K | |
| D1110 | Prophylaxis - adult | 26% | 150 | 150 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 205 | 204 | $4K |
| D0330 | Panoramic radiographic image | 7.3% | 40 | 40 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 68 | 68 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 66 | 66 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.8% | 12 | 12 | $360.00 |
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.