Dental
Collantes, Jo-Ann
Collantes, Jo-Ann was paid $16K by Medicaid between Dec 2021 and Nov 2023, across 5 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 100% of everything it billed.
33Billing provider infoCOLLANTES, JO-ANN
HEREFORD, TX 79045
HEREFORD, TX 79045
33aNPI1508138496assigned 02/07/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims169
24DCodes billed5
24AFirst – last monthDec 2021 – Nov 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,719 of 2,774
Median peer was paid$43K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 19 | $0.00 | |
| 2023 | 150 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 100% | 108 | 101 | $16K |
| D0603 | 0% | 13 | 13 | $0.00 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 16 | 14 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 16 | 14 | $0.00 |
| D1330 | 0% | 16 | 14 | $0.00 |
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.