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

Tri County Community Health Council INC

Tri County Community Health Council INC was paid $89K by Medicaid between Jan 2018 and Oct 2022, across 15 billing codes. Its largest line is D1351, Sealant - per tooth — 21% of everything it billed.

33Billing provider infoTRI COUNTY COMMUNITY HEALTH COUNCIL INC
DUNN, NC 28334
33aNPI1225584287assigned 08/30/2016
28Total paid$89K
24GClaims5,215
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

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

Rank by total paid#236 of 324
Median peer was paid$279K
This provider vs. median0.3×

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 ELLISON, WILLIAM controls 17+ related entities in our dataset. Read more
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
20182,727$39K
20192,026$36K
2022462$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 21% 1,102 205 $18K
D0150 Comprehensive oral evaluation - new or established patient 18% 589 399 $16K
D1120 Dental cleaning, childProphylaxis - child 14% 733 531 $13K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.9% 93 64 $8K
D0330 Panoramic radiographic image 7.5% 211 147 $7K
D1208 Topical application of fluoride, excluding varnish 7.5% 649 454 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.8% 88 62 $5K
D0220 Intraoral - periapical first radiographic image 5.7% 448 376 $5K
D0230 Intraoral - periapical each additional radiographic image 4.9% 468 360 $4K
D0272 Bitewings - two radiographic images 4.4% 406 271 $4K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.3% 132 98 $2K
D1206 Topical application of fluoride varnish <1% 29 13 $167.75
3 more codes
D0603 0% 91 $0.00
D0601 0% 49 $0.00
D0602 0% 127 $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 officialELLISON, WILLIAM (CYCLE REVENUE MANAGER)
Same official

Other billing entities under ELLISON, WILLIAM

Full network →

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