Gannam, Camille

Gannam, Camille was paid $101K by Medicaid between Mar 2018 and Sep 2018, across 16 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 40% of everything it billed.

33Billing provider infoGANNAM, CAMILLE
TRUCKEE, CA 96161

33aNPI1831518760assigned 04/08/2014

33bProvider typePediatric Dentist

28Total paid$101K

24GClaims2,461

24DCodes billed16

24AFirst – last monthMar 2018 – Sep 2018

Compared with peers

Next to other Pediatric Dentist providers in California

Rank by total paid#235 of 332

Median peer was paid$450K

This provider vs. median0.2×

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	2,461	$101K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	40%	337	83	$41K
D1120	Dental cleaning, childProphylaxis - child	12%	397	397	$12K
D1206	Topical application of fluoride varnish	8.5%	512	509	$9K
D7140	Extraction, erupted tooth or exposed root	7.5%	77	32	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.5%	336	336	$8K
D9420		4.9%	45	45	$5K
D0230	Intraoral - periapical each additional radiographic image	3.7%	109	108	$4K
D0272	Bitewings - two radiographic images	3.1%	151	151	$3K
D0145	Oral evaluation for a patient under three years of age	2.5%	83	83	$3K
D1110	Prophylaxis - adult	2.3%	56	56	$2K
D0220	Intraoral - periapical first radiographic image	2.2%	177	173	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.7%	56	53	$2K

4 more codes

D0150	Comprehensive oral evaluation - new or established patient	1.4%	37	$1K
D0140	Limited oral evaluation - problem focused	1.2%	38	$1K
D0240		<1%	37	$937.90
D0274	Bitewings - four radiographic images	<1%	13	$365.82

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.