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

Piedmont Health Services, INC.

Piedmont Health Services, INC. was paid $228K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.

33Billing provider infoPIEDMONT HEALTH SERVICES, INC.
SILER CITY, NC 27344
33aNPI1124450226assigned 07/31/2013
28Total paid$228K
24GClaims10,958
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in North Carolina

Rank by total paid#180 of 324
Median peer was paid$279K
This provider vs. median0.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official TOOMEY, BRIAN controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20183,372$74K
20192,416$54K
2020929$20K
20211,679$37K
2022933$18K
2023968$15K
2024incomplete661$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 25% 2,357 2,223 $58K
D1206 Topical application of fluoride varnish 17% 2,456 2,320 $38K
D1120 Dental cleaning, childProphylaxis - child 11% 981 941 $26K
D0220 Intraoral - periapical first radiographic image 11% 1,759 1,620 $24K
D1110 Prophylaxis - adult 8.2% 521 498 $19K
D0150 Comprehensive oral evaluation - new or established patient 7.6% 471 438 $17K
D0230 Intraoral - periapical each additional radiographic image 7.0% 1,539 1,135 $16K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.6% 84 64 $8K
D0274 Bitewings - four radiographic images 2.5% 206 201 $6K
D7140 Extraction, erupted tooth or exposed root 1.8% 71 38 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.7% 47 42 $4K
D0272 Bitewings - two radiographic images 1.7% 225 210 $4K
3 more codes
D0140 Limited oral evaluation - problem focused 1.1% 75 $3K
D0330 Panoramic radiographic image <1% 30 $1K
99199 Unlisted special service, procedure or report <1% 136 $894.88

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 officialTOOMEY, BRIAN (CEO)
Same official

Other billing entities under TOOMEY, BRIAN

Full network →
ProviderLocationPaid
Piedmont Health Services, INCCarrboro, NC$16.87M
Piedmont Health Services, INCBurlington, NC$6.22M
Piedmont Health Services, INCBurlington, NC$3.31M
Piedmont Health Services, INCBurlington, NC$2.76M
Piedmont Health Services, INCSiler City, NC$2.00M
Piedmont Health Services, INCProspect Hill, NC$1.99M
Piedmont Health Services, INC.Carrboro, NC$678K
Piedmont Health Services, INC.Snow Camp, NC$544K
Piedmont Health Services, INCMoncure, NC$470K
Piedmont Health Services, INC.Prospect Hill, NC$127K
Piedmont Health Services, INCCarrboro, NC$11K
Piedmont Health Services, INCCarrboro, NC$2K

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