Medicaid Provider Spending

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

COLLANTES, JO-ANN

NPI: 1508138496 · HEREFORD, TX 79045 · General Practice Dentistry · NPI assigned 02/07/2012

$16K
Total Medicaid Paid
169
Total Claims
156
Beneficiaries
5
Codes Billed
2021-12
First Month
2023-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 19 $0.00
2023 150 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 108 101 $16K
D0603 13 13 $0.00
D0120 Periodic oral evaluation - established patient 16 14 $0.00
D1208 Topical application of fluoride, excluding varnish 16 14 $0.00
D1330 16 14 $0.00