Dental
Campodonico, Carlos
Campodonico, Carlos was paid $0.00 by Medicaid between Apr 2018 and Oct 2018, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 0% of everything it billed.
33Billing provider infoCAMPODONICO, CARLOS
BLAINE, MN 55449
BLAINE, MN 55449
33aNPI1154546877assigned 04/16/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims279
24DCodes billed5
24AFirst – last monthApr 2018 – Oct 2018
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#336 of 368
Median peer was paid$19K
This provider vs. median0.0×
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 | 279 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 76 | 76 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 38 | 38 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 48 | 48 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 73 | 73 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 44 | 44 | $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.