Dental
Children's Dentistry of Camp Creek
Children's Dentistry of Camp Creek was paid $39K by Medicaid between Dec 2019 and Sep 2020, across 15 billing codes. Its largest line is D0240, — 16% of everything it billed.
33Billing provider infoCHILDREN'S DENTISTRY OF CAMP CREEK
ATLANTA, GA 30331
ATLANTA, GA 30331
33aNPI1922150226assigned 01/17/2007
33bProvider typePediatric Dentist
28Total paid$39K
24GClaims1,496
24DCodes billed15
24AFirst – last monthDec 2019 – Sep 2020
Compared with peers
Next to other Pediatric Dentist providers in Georgia
Rank by total paid#24 of 38
Median peer was paid$58K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 140 | $3K | |
| 2020 | 1,356 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0240 | 16% | 304 | 303 | $6K | |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 222 | 222 | $6K |
| D0274 | Bitewings - four radiographic images | 11% | 166 | 165 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 9.9% | 266 | 266 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 186 | 186 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.4% | 13 | 13 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 87 | 87 | $3K |
| D1351 | Sealant - per tooth | 5.2% | 31 | 31 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 12 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | 3.6% | 79 | 79 | $1K |
| D1110 | Prophylaxis - adult | 3.1% | 46 | 45 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 12 | 12 | $1K |
3 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.
From NPPES
Who's on the registration
Authorized officialMASON, DEREK (PRESIDENT)