Medicaid Provider Spending

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

DAVILA-COLLAZO, JOSE

NPI: 1295838340 · SUMMIT, NJ 07901 · General Practice Dentistry · NPI assigned 09/06/2006

$10K
Total Medicaid Paid
564
Total Claims
528
Beneficiaries
5
Codes Billed
2020-04
First Month
2022-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 330 $7K
2021 160 $2K
2022 74 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 383 351 $7K
D0330 Panoramic radiographic image 59 58 $2K
D0140 Limited oral evaluation - problem focused 96 93 $870.36
D0150 Comprehensive oral evaluation - new or established patient 13 13 $313.67
D0272 Bitewings - two radiographic images 13 13 $193.95