Clinic
County of Iredell
County of Iredell was paid $4.38M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 55% of everything it billed.
33Billing provider infoCOUNTY OF IREDELL
STATESVILLE, NC 28625
STATESVILLE, NC 28625
33aNPI1093790859assigned 12/14/2005
33bProvider typeDental Clinic/Center
28Total paid$4.38M
24GClaims561,502
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Carolina
Rank by total paid#10 of 105
Median peer was paid$224K
This provider vs. median20×
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 | 15,630 | $345K | |
| 2019 | 15,088 | $322K | |
| 2020 | 10,420 | $268K | |
| 2021 | 58,184 | $628K | |
| 2022 | 142,408 | $889K | |
| 2023 | 158,988 | $957K | |
| 2024incomplete | 160,784 | $974K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 55% | 480,891 | 477,540 | $2.41M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 7,561 | 7,517 | $231K |
| D1110 | Prophylaxis - adult | 4.4% | 4,290 | 4,257 | $192K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 1,564 | 1,120 | $179K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 1,922 | 1,393 | $167K |
| D1206 | Topical application of fluoride varnish | 3.2% | 7,562 | 7,502 | $142K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 3,816 | 3,801 | $124K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 7,462 | 6,407 | $110K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 3,665 | 3,088 | $98K |
| D0330 | Panoramic radiographic image | 2.2% | 1,391 | 1,384 | $95K |
| D0274 | Bitewings - four radiographic images | 1.8% | 2,073 | 2,051 | $78K |
| T1002 | Rn services, up to 15 minutes | 1.3% | 1,841 | 1,400 | $57K |
80 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 1,111 | $55K |
| 99213 | Doctor's office visit, returning patient (routine) | 1.1% | 887 | $48K |
| D0272 | Bitewings - two radiographic images | <1% | 1,768 | $39K |
| D0140 | Limited oral evaluation - problem focused | <1% | 967 | $37K |
| D1351 | Sealant - per tooth | <1% | 785 | $25K |
| 0001A | <1% | 361 | $20K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,307 | $19K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,174 | $18K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 233 | $17K |
| 90651 | <1% | 652 | $17K | |
| 0002A | <1% | 332 | $17K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 475 | $17K |
| 99383 | <1% | 168 | $16K | |
| 90734 | <1% | 857 | $15K | |
| 90715 | <1% | 1,160 | $14K | |
| 81025 | <1% | 1,613 | $13K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 190 | $11K |
| 90686 | <1% | 2,315 | $10K | |
| 87210 | <1% | 1,908 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,241 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 155 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 91 | $7K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 94 | $6K |
| 0071A | <1% | 110 | $6K | |
| 0072A | <1% | 80 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 416 | $4K |
| 90619 | <1% | 875 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 38 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $3K |
| 83986 | <1% | 815 | $3K | |
| 90620 | <1% | 103 | $2K | |
| 85018 | <1% | 660 | $2K | |
| 99385 | <1% | 12 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 120 | $2K |
| 90480 | <1% | 30 | $2K | |
| D0240 | <1% | 100 | $2K | |
| 0004A | <1% | 27 | $2K | |
| 90716 | <1% | 176 | $1K | |
| 80305 | <1% | 98 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | $1K |
| 81003 | <1% | 836 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| 91320 | <1% | 21 | $975.09 | |
| 90656 | <1% | 101 | $699.84 | |
| 90633 | <1% | 359 | $648.78 | |
| 90682 | <1% | 13 | $610.48 | |
| 90670 | <1% | 296 | $363.68 | |
| 90707 | <1% | 146 | $297.14 | |
| 96160 | <1% | 77 | $287.98 | |
| 90710 | <1% | 181 | $267.15 | |
| 85013 | <1% | 107 | $261.87 | |
| 96127 | <1% | 40 | $210.17 | |
| 0031A | <1% | 23 | $113.56 | |
| 90696 | <1% | 126 | $51.63 | |
| 99173 | <1% | 425 | $24.00 | |
| 92551 | <1% | 224 | $16.00 | |
| 99000 | 0% | 2,076 | $0.00 | |
| 91307 | 0% | 243 | $0.00 | |
| 90698 | 0% | 95 | $0.00 | |
| 36416 | 0% | 237 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 1,167 | $0.00 |
| 86592 | 0% | 1,221 | $0.00 | |
| 86850 | 0% | 64 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 70 | $0.00 |
| 90677 | 0% | 40 | $0.00 | |
| 90744 | 0% | 76 | $0.00 | |
| 86901 | 0% | 62 | $0.00 | |
| 91303 | 0% | 23 | $0.00 | |
| 87340 | 0% | 62 | $0.00 | |
| 91305 | 0% | 55 | $0.00 | |
| 86803 | 0% | 14 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 1,167 | $0.00 |
| 86703 | 0% | 1,216 | $0.00 | |
| 83020 | 0% | 53 | $0.00 | |
| 91300 | 0% | 792 | $0.00 | |
| 83655 | 0% | 38 | $0.00 | |
| 86900 | 0% | 62 | $0.00 | |
| 90713 | 0% | 13 | $0.00 | |
| 90685 | 0% | 70 | $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 officialMURRAY, JANE (HEALTH DEPARTMENT DIRECTOR)
Parent organizationCOUNTY OF IREDELL