Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Roanoke › NPI 1205840956
Clinic

Carilion Medical Center

Carilion Medical Center was paid $5.13M by Medicaid between Jan 2018 and Aug 2024, across 28 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.

33Billing provider infoCARILION MEDICAL CENTER
ROANOKE, VA 24014
33aNPI1205840956assigned 07/28/2006
33bProvider typeDental Clinic/Center
28Total paid$5.13M
24GClaims167,064
24DCodes billed28
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Dental Clinic/Center providers in Virginia

Rank by total paid#4 of 142
Median peer was paid$75K
This provider vs. median69×

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 GRISETTI, NICOLE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
201823,136$846K
201925,677$889K
202022,073$767K
202123,941$892K
202226,130$1.08M
202330,412$654K
2024incomplete15,695$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 14% 6,177 1,979 $727K
D7140 Extraction, erupted tooth or exposed root 13% 12,995 3,401 $669K
D1120 Dental cleaning, childProphylaxis - child 9.8% 18,260 18,019 $505K
D8670 Periodic orthodontic treatment visit 9.0% 1,363 1,336 $463K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.8% 22,114 21,802 $346K
D1206 Topical application of fluoride varnish 6.2% 19,970 19,643 $316K
D1110 Prophylaxis - adult 5.6% 8,523 8,372 $286K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.2% 3,695 2,359 $264K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.0% 3,534 2,124 $205K
D0150 Comprehensive oral evaluation - new or established patient 3.0% 5,998 5,665 $153K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.9% 5,476 4,934 $150K
D9999 Unspecified adjunctive procedure, by report 2.9% 1,048 1,025 $150K
16 more codes
D0274 Bitewings - four radiographic images 2.4% 6,342 $125K
D0140 Limited oral evaluation - problem focused 2.0% 5,386 $101K
D1351 Sealant - per tooth 1.7% 3,640 $89K
D0272 Bitewings - two radiographic images 1.6% 4,573 $84K
D1208 Topical application of fluoride, excluding varnish 1.6% 3,966 $81K
D3120 1.4% 4,233 $70K
D0230 Intraoral - periapical each additional radiographic image 1.3% 7,874 $66K
D0210 Intraoral - complete series of radiographic images 1.2% 5,366 $64K
D0240 1.2% 5,548 $61K
D0220 Intraoral - periapical first radiographic image 1.1% 6,859 $58K
D0330 Panoramic radiographic image <1% 1,298 $48K
D1354 <1% 2,702 $33K
D8660 <1% 71 $11K
D2330 <1% 26 $2K
D0145 Oral evaluation for a patient under three years of age <1% 15 $302.25
D9310 0% 12 $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 officialGRISETTI, NICOLE (DIRECTOR OF OPERATIONAL SUPPORT)
Parent organizationCARILION MEDICAL CENTER
Same official

Other billing entities under GRISETTI, NICOLE

Full network →

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