Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIEDMONT HEALTH SERVICES, INC.

NPI: 1497187595 · PROSPECT HILL, NC 27314 · Federally Qualified Health Center (FQHC) · NPI assigned 07/31/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TOOMEY, BRIAN controls 12+ related entities in our dataset. Read more

$127K
Total Medicaid Paid
4,662
Total Claims
4,366
Beneficiaries
15
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTOOMEY, BRIAN (CEO)
NPI Enumeration Date07/31/2013

Related Entities

Other providers sharing the same authorized official: TOOMEY, BRIAN

ProviderCityStateTotal Paid
PIEDMONT HEALTH SERVICES, INC CARRBORO NC $16.87M
PIEDMONT HEALTH SERVICES, INC BURLINGTON NC $6.22M
PIEDMONT HEALTH SERVICES, INC BURLINGTON NC $3.31M
PIEDMONT HEALTH SERVICES, INC BURLINGTON NC $2.76M
PIEDMONT HEALTH SERVICES, INC SILER CITY NC $2.00M
PIEDMONT HEALTH SERVICES, INC PROSPECT HILL NC $1.99M
PIEDMONT HEALTH SERVICES, INC. CARRBORO NC $678K
PIEDMONT HEALTH SERVICES, INC. SNOW CAMP NC $544K
PIEDMONT HEALTH SERVICES, INC MONCURE NC $470K
PIEDMONT HEALTH SERVICES, INC. SILER CITY NC $228K
PIEDMONT HEALTH SERVICES, INC CARRBORO NC $11K
PIEDMONT HEALTH SERVICES, INC CARRBORO NC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 751 $18K
2019 362 $8K
2020 463 $12K
2021 745 $16K
2022 944 $26K
2023 690 $27K
2024 707 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 184 128 $19K
D0120 Periodic oral evaluation - established patient 765 749 $19K
D0150 Comprehensive oral evaluation - new or established patient 492 454 $19K
D0220 Intraoral - periapical first radiographic image 945 881 $13K
D1206 Topical application of fluoride varnish 760 739 $12K
D1120 Prophylaxis - child 280 268 $7K
D0274 Bitewings - four radiographic images 271 259 $7K
D0140 Limited oral evaluation - problem focused 186 178 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 70 53 $6K
D1110 Prophylaxis - adult 150 147 $6K
D0330 Panoramic radiographic image 103 97 $5K
D0230 Intraoral - periapical each additional radiographic image 391 349 $5K
D0272 Bitewings - two radiographic images 40 39 $677.25
D0210 Intraoral - complete series of radiographic images 13 13 $671.72
D9995 12 12 $525.04