Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Sullivan County Action,inc.

Sullivan County Action,inc. was paid $97K by Medicaid between Oct 2020 and Dec 2024, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.

33Billing provider infoSULLIVAN COUNTY ACTION,INC.
LAPORTE, PA 18626
33aNPI1063704500assigned 05/03/2011
33bProvider typeDental Hygienist
28Total paid$97K
24GClaims2,935
24DCodes billed15
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Dental Hygienist providers in Pennsylvania

Rank by total paid#6 of 34
Median peer was paid$146.58
This provider vs. median662×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20201,792$63K
2021504$18K
2024incomplete639$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 82% 708 667 $79K
D1110 Prophylaxis - adult 8.4% 487 485 $8K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.2% 532 530 $6K
D1206 Topical application of fluoride varnish 1.4% 302 300 $1K
D1120 Dental cleaning, childProphylaxis - child 1.1% 171 171 $1K
D0274 Bitewings - four radiographic images <1% 237 237 $756.17
D0330 Panoramic radiographic image <1% 90 90 $293.45
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 49 35 $60.00
D0150 Comprehensive oral evaluation - new or established patient <1% 14 14 $58.70
D0272 Bitewings - two radiographic images <1% 44 44 $48.00
D0220 Intraoral - periapical first radiographic image <1% 87 87 $31.35
D0603 0% 12 12 $0.00
3 more codes
D1351 Sealant - per tooth 0% 170 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 12 $0.00
D9110 0% 20 $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 officialROGERS, JAMES (PRESIDENT)
Same official

Other billing entities under ROGERS, JAMES

Full network →
ProviderLocationPaid
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Custom Healthcare, LLCChattanooga, TN$121K
Tempus Ai, INC.Peachtree Corners, GA$80K
Enid Eye INC.Enid, OK$32K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.