Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CARILION MEDICAL CENTER

NPI: 1205840956 · ROANOKE, VA 24014 · Dental Clinic/Center · NPI assigned 07/28/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GRISETTI, NICOLE controls 20+ related entities in our dataset. Read more

$5.13M
Total Medicaid Paid
167,064
Total Claims
129,984
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialGRISETTI, NICOLE (DIRECTOR OF OPERATIONAL SUPPORT)
Parent OrganizationCARILION MEDICAL CENTER
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: GRISETTI, NICOLE

ProviderCityStateTotal Paid
CARILION NEW RIVER VALLEY MEDICAL CENTER CHRISTIANSBURG VA $32.42M
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $18.38M
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $3.73M
CARILION NEW RIVER VALLEY MEDICAL CENTER RADFORD VA $3.01M
CARILION NEW RIVER VALLEY MEDICAL CENTER CHRISTIANSBURG VA $446K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $375K
CARILION VELOCITYCARE BLACKSBURG VA $349K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $297K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BLUEFIELD VA $234K
CARILION EMERGENCY SERVICES INC ROANOKE VA $185K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BUENA VISTA VA $153K
CARILION MEDICAL CENTER ROANOKE VA $93K
CARILION MEDICAL CENTER ROANOKE VA $71K
CARILION MEDICAL CENTER ROANOKE VA $58K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $21K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $7K
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $4K
CARILION TAZEWELL COMMUNITY HOSPITAL TAZEWELL VA $379.73
CARILION NEW RIVER VALLEY MEDICAL CENTER RADFORD VA $154.45
CARILION HEALTHCARE CORPORATION ROANOKE VA $99.45

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,136 $846K
2019 25,677 $889K
2020 22,073 $767K
2021 23,941 $892K
2022 26,130 $1.08M
2023 30,412 $654K
2024 15,695 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 6,177 1,979 $727K
D7140 Extraction, erupted tooth or exposed root 12,995 3,401 $669K
D1120 Prophylaxis - child 18,260 18,019 $505K
D8670 Periodic orthodontic treatment visit 1,363 1,336 $463K
D0120 Periodic oral evaluation - established patient 22,114 21,802 $346K
D1206 Topical application of fluoride varnish 19,970 19,643 $316K
D1110 Prophylaxis - adult 8,523 8,372 $286K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,695 2,359 $264K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,534 2,124 $205K
D0150 Comprehensive oral evaluation - new or established patient 5,998 5,665 $153K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5,476 4,934 $150K
D9999 Unspecified adjunctive procedure, by report 1,048 1,025 $150K
D0274 Bitewings - four radiographic images 6,342 6,243 $125K
D0140 Limited oral evaluation - problem focused 5,386 4,705 $101K
D1351 Sealant - per tooth 3,640 1,301 $89K
D0272 Bitewings - two radiographic images 4,573 4,495 $84K
D1208 Topical application of fluoride, excluding varnish 3,966 3,964 $81K
D3120 4,233 1,618 $70K
D0230 Intraoral - periapical each additional radiographic image 7,874 2,525 $66K
D0210 Intraoral - complete series of radiographic images 5,366 3,048 $64K
D0240 5,548 3,032 $61K
D0220 Intraoral - periapical first radiographic image 6,859 6,229 $58K
D0330 Panoramic radiographic image 1,298 1,102 $48K
D1354 2,702 953 $33K
D8660 71 71 $11K
D2330 26 12 $2K
D0145 Oral evaluation for a patient under three years of age 15 15 $302.25
D9310 12 12 $0.00