Agency
State of Tennessee
State of Tennessee was paid $1.15M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 13% of everything it billed.
33Billing provider infoSTATE OF TENNESSEE
JOHNSON CITY, TN 37601
JOHNSON CITY, TN 37601
33aNPI1447397666assigned 01/30/2007
33bProvider typePublic Health or Welfare Agency
28Total paid$1.15M
24GClaims57,508
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Tennessee
Rank by total paid#8 of 109
Median peer was paid$121K
This provider vs. median9.6×
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 | 14,068 | $291K | |
| 2019 | 15,880 | $310K | |
| 2020 | 5,583 | $101K | |
| 2021 | 3,812 | $78K | |
| 2022 | 7,490 | $152K | |
| 2023 | 8,507 | $189K | |
| 2024incomplete | 2,168 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 13% | 8,100 | 7,982 | $151K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 3,612 | 3,463 | $123K |
| 99401 | 8.0% | 3,531 | 3,098 | $92K | |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 2,749 | 2,729 | $92K |
| D1110 | Prophylaxis - adult | 5.3% | 1,448 | 1,420 | $61K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 2,461 | 2,448 | $59K |
| D0272 | Bitewings - two radiographic images | 4.8% | 3,679 | 3,583 | $55K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 804 | 772 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 683 | 497 | $49K |
| D1351 | Sealant - per tooth | 3.7% | 4,844 | 776 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 1,519 | 1,485 | $41K |
| 99381 | 3.5% | 509 | 491 | $40K |
54 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 518 | $39K |
| D0190 | 3.0% | 3,141 | $34K | |
| D0330 | Panoramic radiographic image | 2.8% | 841 | $32K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.2% | 1,684 | $25K |
| 90651 | 2.0% | 625 | $23K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 2,197 | $22K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 878 | $18K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 191 | $14K |
| D0274 | Bitewings - four radiographic images | 1.1% | 585 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 181 | $11K |
| 81025 | <1% | 2,008 | $10K | |
| 94250 | <1% | 449 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 381 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 161 | $4K |
| D1354 | <1% | 520 | $3K | |
| 92551 | <1% | 443 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 44 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 57 | $3K |
| 85018 | <1% | 919 | $2K | |
| 36416 | <1% | 981 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 225 | $2K |
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 153 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $2K |
| 90715 | <1% | 519 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 776 | $2K |
| 90734 | <1% | 301 | $1K | |
| 0001A | <1% | 44 | $1K | |
| 96127 | <1% | 346 | $1K | |
| 0002A | <1% | 39 | $1K | |
| 99173 | <1% | 377 | $1K | |
| 90716 | <1% | 149 | $986.69 | |
| 83655 | <1% | 80 | $985.44 | |
| 90686 | <1% | 1,180 | $945.00 | |
| 90632 | <1% | 16 | $746.62 | |
| 90707 | <1% | 168 | $741.98 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $553.17 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 58 | $531.90 |
| 99071 | <1% | 188 | $455.81 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $339.43 |
| 90619 | <1% | 54 | $258.86 | |
| 99407 | <1% | 13 | $257.53 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $249.64 |
| 87210 | <1% | 49 | $161.41 | |
| 90670 | <1% | 14 | $160.66 | |
| 90633 | <1% | 206 | $118.52 | |
| 90461 | <1% | 1,245 | $90.08 | |
| D0170 | <1% | 29 | $25.13 | |
| 91300 | 0% | 32 | $0.00 | |
| 90696 | 0% | 18 | $0.00 | |
| 90688 | 0% | 44 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| D1330 | 0% | 194 | $0.00 | |
| 90674 | 0% | 161 | $0.00 | |
| 99000 | 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 officialCARSON, JAMES (COUNTY DIRECTOR 3)