Provided is an intraoral X-ray imaging apparatus having a camera, including: a frame an X-ray irradiator which is installed to be supported by the frame and of which the one end portion is inserted into the oral cavity and which irradiates X-ray through an X-ray irradiation hole formed on the one end portion inserted into the oral cavity a camera unit which is installed at the one end portion of the X-ray irradiator to image an interior of the oral cavity a monitor unit which is connected to a camera unit to output the image captured by the camera unit and an X-ray detector which is arranged to be separated from the X-ray irradiator in the frame so as to detect the X-ray irradiated from the X-ray irradiator outside the oral cavity. In the intraoral X-ray imaging apparatus having a camera, since the X-ray irradiator is located inside the oral cavity, it is possible to obtain an image having a high quality with a low X-ray dose and to avoid confusion in image diagnosis by removing a ghost image. In addition, since the imaging object tooth can be accurately identified inside the oral cavity, the X-ray can be irradiated on only the imaging object tooth, so that it is possible to minimize a radiation exposure dose applied to the head of a patient.