Clinic
Camp Wisdom Road Dentistry, PA
Camp Wisdom Road Dentistry, PA was paid $375K by Medicaid between Nov 2020 and Dec 2024, across 16 billing codes. Its largest line is D1351, Sealant - per tooth — 19% of everything it billed.
33Billing provider infoCAMP WISDOM ROAD DENTISTRY, PA
DUNCANVILLE, TX 75116
DUNCANVILLE, TX 75116
33aNPI1942515275assigned 08/11/2010
33bProvider typeDental Clinic/Center
28Total paid$375K
24GClaims19,714
24DCodes billed16
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#86 of 255
Median peer was paid$110K
This provider vs. median3.4×
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 | 591 | $9K | |
| 2021 | 5,715 | $114K | |
| 2022 | 5,705 | $112K | |
| 2023 | 4,738 | $88K | |
| 2024incomplete | 2,965 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 19% | 2,699 | 553 | $71K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,093 | 1,981 | $55K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,368 | 1,318 | $47K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 3,998 | 1,856 | $40K |
| D1110 | Prophylaxis - adult | 9.6% | 773 | 711 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 2,091 | 2,000 | $29K |
| D0274 | Bitewings - four radiographic images | 7.0% | 926 | 851 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 2,218 | 2,055 | $23K |
| D0145 | Oral evaluation for a patient under three years of age | 6.0% | 165 | 162 | $23K |
| D0272 | Bitewings - two radiographic images | 2.8% | 547 | 522 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 129 | 53 | $11K |
| D0330 | Panoramic radiographic image | 1.0% | 137 | 128 | $4K |
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.
From NPPES
Who's on the registration
Authorized officialTO, KENNETH (CO-PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Advance Dentistry, P.A | Houston, TX | $356K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.