Dental
Southern Illinois Healthcare Foundation, INC.
Southern Illinois Healthcare Foundation, INC. was paid $20.39M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
EAST ALTON, IL 62024
EAST ALTON, IL 62024
33aNPI1487719860assigned 12/26/2006
33bProvider typeDentist
28Total paid$20.39M
24GClaims459,679
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#1 of 1,099
Median peer was paid$160K
This provider vs. median127×
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 MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
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 | 53,342 | $2.23M | |
| 2019 | 93,197 | $2.81M | |
| 2020 | 52,443 | $2.68M | |
| 2021 | 68,759 | $3.18M | |
| 2022 | 42,083 | $2.42M | |
| 2023 | 55,102 | $2.94M | |
| 2024incomplete | 94,753 | $4.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 73% | 114,604 | 79,393 | $14.95M |
| D0999 | Unspecified diagnostic procedure, by report | 24% | 41,984 | 38,786 | $4.86M |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 25,358 | 24,987 | $269K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 24,815 | 24,379 | $96K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,283 | 4,217 | $61K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,535 | 1,483 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,598 | 2,171 | $23K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 284 | 164 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,953 | 2,443 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 4,097 | 3,308 | $17K |
| D0274 | Bitewings - four radiographic images | <1% | 2,414 | 2,389 | $11K |
| D2140 | <1% | 738 | 606 | $5K |
82 more codes
| D2940 | <1% | 191 | $5K | |
| 90651 | <1% | 1,926 | $4K | |
| 90734 | <1% | 2,046 | $3K | |
| D2330 | <1% | 711 | $2K | |
| 90670 | <1% | 3,259 | $2K | |
| D1354 | <1% | 942 | $1K | |
| 90620 | <1% | 727 | $1K | |
| 90688 | <1% | 1,017 | $1K | |
| 90710 | <1% | 948 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 11,221 | $711.36 |
| 90715 | <1% | 1,623 | $647.06 | |
| D1206 | Topical application of fluoride varnish | <1% | 26,542 | $606.43 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,908 | $592.80 |
| 90680 | <1% | 2,262 | $497.34 | |
| 90723 | <1% | 2,639 | $459.55 | |
| D2331 | <1% | 55 | $396.57 | |
| 90716 | <1% | 654 | $372.46 | |
| 90686 | <1% | 3,522 | $360.63 | |
| 90633 | <1% | 2,385 | $350.64 | |
| 90707 | <1% | 676 | $290.08 | |
| 90696 | <1% | 835 | $255.85 | |
| 90647 | <1% | 2,823 | $242.47 | |
| 90700 | <1% | 665 | $124.80 | |
| 96127 | <1% | 8,721 | $73.20 | |
| 81025 | <1% | 909 | $10.32 | |
| S5190 | Wellness assessment, performed by non-physician | <1% | 569 | $9.81 |
| 81002 | <1% | 2,124 | $2.60 | |
| 90677 | 0% | 432 | $0.00 | |
| 3080F | 0% | 171 | $0.00 | |
| 99381 | 0% | 379 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 5,661 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 13,491 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 54,839 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,452 | $0.00 |
| 87428 | 0% | 726 | $0.00 | |
| 90697 | 0% | 126 | $0.00 | |
| 3079F | 0% | 879 | $0.00 | |
| 3074F | 0% | 5,088 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 562 | $0.00 |
| 3008F | 0% | 6,405 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 112 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 3,933 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 283 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 215 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 231 | $0.00 |
| 3075F | 0% | 365 | $0.00 | |
| 1036F | 0% | 4,056 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 42 | $0.00 |
| 99383 | 0% | 147 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 28 | $0.00 |
| 90656 | 0% | 285 | $0.00 | |
| 87807 | 0% | 70 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 52 | $0.00 |
| 99385 | 0% | 31 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 25 | $0.00 |
| D0603 | 0% | 19 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 4,285 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,098 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 4,878 | $0.00 |
| 3725F | 0% | 1,674 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 2,743 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 7,584 | $0.00 |
| 0502F | 0% | 1,393 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 270 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 1,110 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 5,102 | $0.00 |
| 3078F | 0% | 4,595 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 4,571 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 4,022 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 411 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 595 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 56 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 3,790 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 687 | $0.00 |
| 81003 | 0% | 458 | $0.00 | |
| 1160F | 0% | 54 | $0.00 | |
| 90658 | 0% | 79 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,166 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 124 | $0.00 |
| 3077F | 0% | 231 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 23 | $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 officialMCCULLEY, LARRY (CHIEF OPERATING OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.