State of Tennesseee
State of Tennesseee was paid $12K by Medicaid between Jan 2018 and Oct 2023, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 43% of everything it billed.
PIKEVILLE, TN 37367
Next to other Public Health or Welfare Agency providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 414 | $6K | |
| 2019 | 218 | $3K | |
| 2022 | 141 | $2K | |
| 2023 | 95 | $1K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 43% | 296 | 285 | $5K |
| D0190 | 24% | 275 | 264 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 21% | 123 | 120 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 22 | 22 | $643.50 |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 19 | 19 | $546.08 |
| D0272 | Bitewings - two radiographic images | 2.3% | 18 | 17 | $277.95 |
| 90686 | <1% | 49 | 49 | $30.00 | |
| 90674 | 0% | 66 | 62 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Tennesee Department of Health | Cleveland, TN | $483K |
| Tropical Garden Villas INC. | Lake Park, FL | $452K |
| State of Tennessee | Winchester, TN | $372K |
| State of Tennessee | Decatur, TN | $124K |
| Tennessee Department of Health | Athens, TN | $123K |
| State of Tennessee | Evensville, TN | $100K |
| State of Tennessee | Jasper, TN | $100K |
| State of Tennessee | Dunlap, TN | $61K |
| State of Tennessee | Altamont, TN | $50K |
| State of Tennessee | Benton, TN | $30K |
| State of Tennessee | Copperhill, TN | $27K |
| Shore Health and Rehab Products INC | Neptune, NJ | $969.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.