Dental
Camp Smile Pediatric Dentistry Excelsior PLLC
Camp Smile Pediatric Dentistry Excelsior PLLC was paid $259.08 by Medicaid between Mar 2023 and Mar 2023, across 1 billing code. Its largest line is D1206, Topical application of fluoride varnish — 100% of everything it billed.
33Billing provider infoCAMP SMILE PEDIATRIC DENTISTRY EXCELSIOR PLLC
EXCELSIOR, MN 55331
EXCELSIOR, MN 55331
33aNPI1467924290assigned 12/18/2018
33bProvider typePediatric Dentist
28Total paid$259.08
24GClaims12
24DCodes billed1
24AFirst – last monthMar 2023 – Mar 2023
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#46 of 49
Median peer was paid$94K
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 | |
|---|---|---|---|
| 2023 | 12 | $259.08 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 100% | 12 | 12 | $259.08 |
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 officialAUGUSTYN, BOBBI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Camp Smile Pediatric Dentistry Chaska | Chaska, MN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.