Campos, Carissa

Campos, Carissa was paid $5K by Medicaid between Feb 2018 and May 2021, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.

33Billing provider infoCAMPOS, CARISSA
ACWORTH, GA 30101

33aNPI1144563560assigned 04/03/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims736

24DCodes billed4

24AFirst – last monthFeb 2018 – May 2021

Compared with peers

Next to other General Practice Dentistry providers in Georgia

Rank by total paid#50 of 63

Median peer was paid$30K

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
2018	246	$1K
2019	375	$2K
2020	101	$609.05
2021	14	$630.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	249	249	$2K
D0274	Bitewings - four radiographic images	24%	183	183	$1K
D0220	Intraoral - periapical first radiographic image	21%	290	290	$1K
D1110	Prophylaxis - adult	13%	14	14	$630.00

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.