Dental
San Miguel, Camille
San Miguel, Camille was paid $343K by Medicaid between Jul 2021 and Oct 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoSAN MIGUEL, CAMILLE
WOODHAVEN, NY 11421
WOODHAVEN, NY 11421
33aNPI1477051787assigned 02/01/2018
33bProvider typePediatric Dentist
28Total paid$343K
24GClaims14,828
24DCodes billed16
24AFirst – last monthJul 2021 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#206 of 514
Median peer was paid$196K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2021 | 207 | $4K | |
| 2022 | 3,749 | $105K | |
| 2023 | 6,010 | $135K | |
| 2024incomplete | 4,862 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 1,902 | 1,902 | $63K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,194 | 2,194 | $50K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 836 | 518 | $47K |
| D0274 | Bitewings - four radiographic images | 10% | 1,562 | 1,562 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 2,016 | 2,016 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 6.5% | 2,053 | 2,049 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | 6.0% | 557 | 356 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 509 | 329 | $19K |
| D1110 | Prophylaxis - adult | 5.4% | 421 | 421 | $19K |
| D1351 | Sealant - per tooth | 4.9% | 476 | 158 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 1,477 | 1,476 | $8K |
| D1206 | Topical application of fluoride varnish | 2.2% | 367 | 366 | $8K |
4 more codes
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.