Petrisor, Camelia

Petrisor, Camelia was paid $150K by Medicaid between Apr 2018 and Dec 2019, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.

33Billing provider infoPETRISOR, CAMELIA
ROSEVILLE, MI 48066

33aNPI1871754721assigned 06/23/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$150K

24GClaims4,299

24DCodes billed14

24AFirst – last monthApr 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#294 of 1,554

Median peer was paid$15K

This provider vs. median10×

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	2,321	$86K
2019	1,978	$64K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	16%	589	589	$24K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	770	768	$21K
D1110	Prophylaxis - adult	13%	378	377	$20K
D1208	Topical application of fluoride, excluding varnish	12%	763	762	$18K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	11%	133	96	$16K
D0210	Intraoral - complete series of radiographic images	7.4%	151	150	$11K
D1351	Sealant - per tooth	6.0%	304	84	$9K
D0220	Intraoral - periapical first radiographic image	4.7%	431	424	$7K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.2%	71	55	$6K
D0150	Comprehensive oral evaluation - new or established patient	3.9%	147	146	$6K
D0274	Bitewings - four radiographic images	3.6%	149	149	$5K
D0230	Intraoral - periapical each additional radiographic image	2.2%	383	367	$3K

2 more codes

D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.7%	18	$3K
D0272	Bitewings - two radiographic images	<1%	12	$300.00

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.