Clinic
County of Madison Office of Auditor
County of Madison Office of Auditor was paid $759K by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 41% of everything it billed.
33Billing provider infoCOUNTY OF MADISON OFFICE OF AUDITOR
MARSHALL, NC 28753
MARSHALL, NC 28753
33aNPI1356469357assigned 03/27/2007
33bProvider typeDental Clinic/Center
28Total paid$759K
24GClaims93,816
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Carolina
Rank by total paid#29 of 105
Median peer was paid$224K
This provider vs. median3.4×
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 | 2,112 | $59K | |
| 2019 | 2,207 | $55K | |
| 2020 | 2,191 | $43K | |
| 2021 | 12,146 | $151K | |
| 2022 | 20,500 | $159K | |
| 2023 | 27,378 | $157K | |
| 2024incomplete | 27,282 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 41% | 76,918 | 58,361 | $314K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,320 | 1,418 | $160K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10.0% | 825 | 536 | $76K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 2,508 | 2,092 | $53K |
| D1110 | Prophylaxis - adult | 5.7% | 1,308 | 1,073 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 1,135 | 958 | $25K |
| D1206 | Topical application of fluoride varnish | 2.5% | 1,349 | 1,129 | $19K |
| 0012A | 1.2% | 173 | 157 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 778 | 585 | $9K |
| 0011A | 1.1% | 219 | 191 | $8K | |
| D0274 | Bitewings - four radiographic images | <1% | 257 | 236 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 146 | 87 | $7K |
31 more codes
| 0001A | <1% | 78 | $5K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 325 | $4K |
| 0002A | <1% | 62 | $4K | |
| 0031A | <1% | 113 | $3K | |
| 0071A | <1% | 52 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 56 | $2K |
| 0072A | <1% | 40 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 657 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 24 | $1K |
| 0064A | <1% | 30 | $928.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 65 | $922.97 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $740.09 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 369 | $513.10 |
| 90686 | <1% | 354 | $379.84 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 210 | $330.04 |
| 87210 | <1% | 30 | $111.55 | |
| 82120 | <1% | 30 | $76.48 | |
| 99000 | <1% | 2,269 | $70.88 | |
| 85018 | <1% | 33 | $69.23 | |
| 90656 | <1% | 13 | $41.06 | |
| 81002 | <1% | 14 | $39.00 | |
| 90688 | <1% | 15 | $17.51 | |
| 91300 | 0% | 177 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 12 | $0.00 |
| 91301 | 0% | 436 | $0.00 | |
| 91303 | 0% | 107 | $0.00 | |
| 87800 | 0% | 92 | $0.00 | |
| 91307 | 0% | 114 | $0.00 | |
| 86701 | 0% | 31 | $0.00 | |
| 86592 | 0% | 31 | $0.00 | |
| 91306 | 0% | 28 | $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 officialCODY, TAMMY (DIRECTOR OF THE MADISON COUNTY HEAL)
Parent organizationCOUNTY OF MADISON OFFICE OF AUDITOR