Campbell, Mary

Campbell, Mary was paid $8K by Medicaid between Oct 2020 and Nov 2020, across 12 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 16% of everything it billed.

33Billing provider infoCAMPBELL, MARY
HAZARD, KY 41701

33aNPI1578587556assigned 07/26/2006

33bProvider typeDentist

28Total paid$8K

24GClaims759

24DCodes billed12

24AFirst – last monthOct 2020 – Nov 2020

Compared with peers

Next to other Dentist providers in Kentucky

Rank by total paid#273 of 350

Median peer was paid$95K

This provider vs. median0.1×

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
2020	759	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	16%	146	104	$1K
D0330	Panoramic radiographic image	11%	64	50	$881.40
D1120	Dental cleaning, childProphylaxis - child	11%	37	28	$870.65
D7140	Extraction, erupted tooth or exposed root	10%	66	33	$845.50
D1110	Prophylaxis - adult	9.9%	63	47	$816.22
D0274	Bitewings - four radiographic images	8.2%	86	60	$677.70
D2330		7.0%	29	16	$583.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.7%	31	19	$550.32
D1208	Topical application of fluoride, excluding varnish	6.1%	71	54	$501.01
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.0%	33	20	$492.50
D2331		4.8%	18	12	$398.20
D0220	Intraoral - periapical first radiographic image	3.8%	115	82	$314.09

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.