Dental
Appalachian District Health Department
Appalachian District Health Department was paid $1.13M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D0120, dental checkup, returning patient — 12% of everything it billed.
33Billing provider infoAPPALACHIAN DISTRICT HEALTH DEPARTMENT
JEFFERSON, NC 28640
JEFFERSON, NC 28640
33aNPI1043761513assigned 10/20/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$1.13M
24GClaims47,166
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#131 of 756
Median peer was paid$121K
This provider vs. median9.4×
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 | |
|---|---|---|---|
| 2018 | 4,443 | $73K | |
| 2019 | 9,764 | $157K | |
| 2020 | 2,353 | $57K | |
| 2021 | 9,389 | $267K | |
| 2022 | 6,081 | $168K | |
| 2023 | 8,732 | $233K | |
| 2024incomplete | 6,404 | $180K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 5,118 | 4,759 | $138K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 4,811 | 4,193 | $126K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 3,213 | 2,540 | $109K |
| D1110 | Prophylaxis - adult | 8.8% | 2,673 | 2,397 | $100K |
| D1351 | Sealant - per tooth | 8.5% | 4,510 | 985 | $97K |
| D1206 | Topical application of fluoride varnish | 7.9% | 5,825 | 5,122 | $90K |
| D7140 | Extraction, erupted tooth or exposed root | 7.9% | 1,333 | 600 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 682 | 473 | $77K |
| D0140 | Limited oral evaluation - problem focused | 5.3% | 1,619 | 1,436 | $60K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 763 | 446 | $58K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 3,126 | 2,784 | $44K |
| D0274 | Bitewings - four radiographic images | 3.1% | 1,217 | 1,062 | $35K |
15 more codes
| D0272 | Bitewings - two radiographic images | 2.6% | 1,727 | $30K |
| 99199 | Unlisted special service, procedure or report | 2.0% | 4,548 | $23K |
| D0330 | Panoramic radiographic image | 1.7% | 304 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 1,514 | $16K |
| D1354 | <1% | 873 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 312 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 68 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 66 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 32 | $2K |
| D9996 | 0% | 211 | $0.00 | |
| D0603 | 0% | 592 | $0.00 | |
| D1330 | 0% | 771 | $0.00 | |
| D1310 | 0% | 815 | $0.00 | |
| D0602 | 0% | 427 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialDOUGHERTY, DANIELLE (CREDENTIALER)
Parent organizationAPPALACHIAN DISTRICT HEALTH DEPARTMENT
| Provider | Location | Paid |
|---|---|---|
| Appalachian District Health Dept | Sparta, NC | $1.12M |
| Appalachian District Health Dept | Jefferson, NC | $1.06M |
| Appalachian District Health Dept | Boone, NC | $406K |
| Appalachian District Health Department | Warrensville, NC | $99K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.