Davila-Collazo, Jose

Davila-Collazo, Jose was paid $10K by Medicaid between Apr 2020 and Jul 2022, across 5 billing codes. Its largest line is D1999, — 70% of everything it billed.

33Billing provider infoDAVILA-COLLAZO, JOSE
SUMMIT, NJ 07901

33aNPI1295838340assigned 09/06/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$10K

24GClaims564

24DCodes billed5

24AFirst – last monthApr 2020 – Jul 2022

Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#537 of 790

Median peer was paid$43K

This provider vs. median0.2×

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	330	$7K
2021	160	$2K
2022	74	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1999		70%	383	351	$7K
D0330	Panoramic radiographic image	15%	59	58	$2K
D0140	Limited oral evaluation - problem focused	8.9%	96	93	$870.36
D0150	Comprehensive oral evaluation - new or established patient	3.2%	13	13	$313.67
D0272	Bitewings - two radiographic images	2.0%	13	13	$193.95

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.