Kambo-Gjelaj, Anijolta

Kambo-Gjelaj, Anijolta was paid $47K by Medicaid between Oct 2018 and Dec 2019, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.

33Billing provider infoKAMBO-GJELAJ, ANIJOLTA
WOODHAVEN, MI 48183

33aNPI1477045508assigned 06/04/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$47K

24GClaims1,784

24DCodes billed8

24AFirst – last monthOct 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#513 of 1,554

Median peer was paid$15K

This provider vs. median3.2×

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	434	$12K
2019	1,350	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	25%	294	294	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	421	421	$12K
D1208	Topical application of fluoride, excluding varnish	19%	375	375	$9K
D1110	Prophylaxis - adult	12%	111	111	$6K
D0220	Intraoral - periapical first radiographic image	9.8%	275	275	$5K
D0230	Intraoral - periapical each additional radiographic image	4.6%	242	242	$2K
D0274	Bitewings - four radiographic images	3.0%	41	41	$1K
D0272	Bitewings - two radiographic images	1.3%	25	25	$625.00

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.