Camellia Dental Care LLC

Camellia Dental Care LLC was paid $10K by Medicaid between Oct 2019 and Oct 2020, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.

33Billing provider infoCAMELLIA DENTAL CARE LLC
TUSCALOOSA, AL 35406

33aNPI1154974277assigned 07/17/2019

33bProvider typeDentist

28Total paid$10K

24GClaims569

24DCodes billed8

24AFirst – last monthOct 2019 – Oct 2020

Compared with peers

Next to other Dentist providers in Alabama

Rank by total paid#94 of 160

Median peer was paid$24K

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
2019	371	$6K
2020	198	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	126	123	$2K
D1120	Dental cleaning, childProphylaxis - child	21%	85	80	$2K
D1208	Topical application of fluoride, excluding varnish	19%	152	144	$2K
D1110	Prophylaxis - adult	14%	45	43	$1K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	13%	21	12	$1K
D0220	Intraoral - periapical first radiographic image	5.2%	62	55	$539.00
D0230	Intraoral - periapical each additional radiographic image	4.6%	60	48	$470.00
D1999		2.3%	18	13	$240.00

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 officialHOLLAND, TIMOTHY (CHIEF FINANCIAL OFFICER)