Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Prospect Hill › NPI 1497187595
Clinic

Piedmont Health Services, INC.

Piedmont Health Services, INC. was paid $127K by Medicaid between Feb 2018 and Oct 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.

33Billing provider infoPIEDMONT HEALTH SERVICES, INC.
PROSPECT HILL, NC 27314
33aNPI1497187595assigned 07/31/2013
28Total paid$127K
24GClaims4,662
24DCodes billed15
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers

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

Rank by total paid#216 of 324
Median peer was paid$279K
This provider vs. median0.5×

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 TOOMEY, BRIAN controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018751$18K
2019362$8K
2020463$12K
2021745$16K
2022944$26K
2023690$27K
2024incomplete707$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 184 128 $19K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 765 749 $19K
D0150 Comprehensive oral evaluation - new or established patient 15% 492 454 $19K
D0220 Intraoral - periapical first radiographic image 11% 945 881 $13K
D1206 Topical application of fluoride varnish 9.5% 760 739 $12K
D1120 Dental cleaning, childProphylaxis - child 5.6% 280 268 $7K
D0274 Bitewings - four radiographic images 5.5% 271 259 $7K
D0140 Limited oral evaluation - problem focused 5.1% 186 178 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.5% 70 53 $6K
D1110 Prophylaxis - adult 4.4% 150 147 $6K
D0330 Panoramic radiographic image 3.9% 103 97 $5K
D0230 Intraoral - periapical each additional radiographic image 3.7% 391 349 $5K
3 more codes
D0272 Bitewings - two radiographic images <1% 40 $677.25
D0210 Intraoral - complete series of radiographic images <1% 13 $671.72
D9995 <1% 12 $525.04

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 officialTOOMEY, BRIAN (CEO)
Same official

Other billing entities under TOOMEY, BRIAN

Full network →
ProviderLocationPaid
Piedmont Health Services, INCCarrboro, NC$16.87M
Piedmont Health Services, INCBurlington, NC$6.22M
Piedmont Health Services, INCBurlington, NC$3.31M
Piedmont Health Services, INCBurlington, NC$2.76M
Piedmont Health Services, INCSiler City, NC$2.00M
Piedmont Health Services, INCProspect Hill, NC$1.99M
Piedmont Health Services, INC.Carrboro, NC$678K
Piedmont Health Services, INC.Snow Camp, NC$544K
Piedmont Health Services, INCMoncure, NC$470K
Piedmont Health Services, INC.Siler City, NC$228K
Piedmont Health Services, INCCarrboro, NC$11K
Piedmont Health Services, INCCarrboro, NC$2K

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