Dental
Campodonico Family & Cosmetic Dentistry PC
Campodonico Family & Cosmetic Dentistry PC was paid $7K by Medicaid between Jan 2019 and Oct 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.
33Billing provider infoCAMPODONICO FAMILY & COSMETIC DENTISTRY PC
BLAINE, MN 55449
BLAINE, MN 55449
33aNPI1104249259assigned 01/27/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims307
24DCodes billed7
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#231 of 368
Median peer was paid$19K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 186 | $5K | |
| 2020 | 71 | $311.40 | |
| 2022 | 26 | $987.75 | |
| 2024incomplete | 24 | $678.83 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 63 | 63 | $2K |
| D0274 | Bitewings - four radiographic images | 20% | 43 | 42 | $1K |
| D1206 | Topical application of fluoride varnish | 19% | 73 | 72 | $1K |
| D1110 | Prophylaxis - adult | 16% | 31 | 30 | $1K |
| D0330 | Panoramic radiographic image | 9.7% | 14 | 14 | $635.76 |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 26 | 26 | $632.60 |
| D1999 | 0% | 57 | 52 | $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.
From NPPES
Who's on the registration
Authorized officialCAMPODONICO, CARLOS (OWNER)