Dental
Valley Health Systems, INC.
Valley Health Systems, INC. was paid $11.01M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoVALLEY HEALTH SYSTEMS, INC.
MILTON, WV 25541
MILTON, WV 25541
33aNPI1548542277assigned 09/20/2011
33bProvider typeDentist
28Total paid$11.01M
24GClaims131,761
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in West Virginia
Rank by total paid#3 of 112
Median peer was paid$60K
This provider vs. median184×
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 BRUBECK, MARY-BETH 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 | 3,440 | $311K | |
| 2019 | 6,916 | $559K | |
| 2020 | 17,193 | $1.52M | |
| 2021 | 20,820 | $1.68M | |
| 2022 | 26,826 | $2.27M | |
| 2023 | 35,801 | $2.74M | |
| 2024incomplete | 20,765 | $1.93M |
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 | 95% | 60,107 | 46,278 | $10.50M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1.4% | 4,191 | 3,986 | $154K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 28,445 | 23,222 | $143K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 489 | 436 | $72K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,059 | 6,043 | $42K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 8,414 | 6,857 | $31K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,328 | 2,056 | $14K |
| 90686 | <1% | 874 | 765 | $11K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,797 | 2,717 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 800 | 599 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 273 | 245 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 159 | 65 | $3K |
46 more codes
| D1110 | Prophylaxis - adult | <1% | 103 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 903 | $2K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 3,755 | $2K |
| D1120 | Dental cleaning, child | <1% | 91 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 260 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 94 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 125 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 219 | $1K |
| D0120 | Dental checkup, returning patient | <1% | 114 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 50 | $1K |
| D0330 | Panoramic radiographic image | <1% | 57 | $884.40 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 211 | $836.08 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 238 | $749.78 |
| 90656 | <1% | 71 | $532.95 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 192 | $436.22 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $247.50 |
| G0467 | Community health center visit, returning patient | <1% | 3,172 | $183.14 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 75 | $125.05 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,015 | $100.01 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 16 | $5.36 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 146 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 16 | $0.00 |
| 3078F | 0% | 643 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 119 | $0.00 |
| 90648 | 0% | 39 | $0.00 | |
| 90670 | 0% | 74 | $0.00 | |
| 90734 | 0% | 89 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 110 | $0.00 |
| 90715 | 0% | 100 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 48 | $0.00 |
| 99201 | 0% | 32 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 3074F | 0% | 862 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 793 | $0.00 |
| 3008F | 0% | 582 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 47 | $0.00 |
| 3079F | 0% | 89 | $0.00 | |
| 99384 | 0% | 29 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 48 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 23 | $0.00 |
| 90651 | 0% | 30 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 55 | $0.00 |
| 90698 | 0% | 13 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 13 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 25 | $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 officialBRUBECK, MARY-BETH (VICE PRESIDENT OF FINANCE / CFO)
Parent organizationVALLEY HEALTH SYSTEMS, INC.
| Provider | Location | Paid |
|---|---|---|
| Valley Health Systems INC | Huntington, WV | $17.20M |
| Valley Health Systems, INC | Wayne, WV | $14.08M |
| Valley Health Systems INC | Huntington, WV | $13.47M |
| Valley Health Systems INC | Huntington, WV | $13.19M |
| Valley Health Systems INC | Huntington, WV | $10.23M |
| Valley Health Systems INC | Huntington, WV | $10.10M |
| Valley Health Systems INC | Fort Gay, WV | $8.84M |
| Valley Health Systems INC | Hurricane, WV | $8.59M |
| Valley Health Systems, INC | Charleston, WV | $7.17M |
| Valley Health Systems INC | Huntington, WV | $7.02M |
| Valley Health Systems INC | Coal Grove, OH | $6.42M |
| Valley Health Systems, INC. | Scott Depot, WV | $6.26M |
| Valley Health Systems INC | Huntington, WV | $4.93M |
| Valley Health Systems INC | Point Pleasant, WV | $3.40M |
| Valley Health Systems INC | Harts, WV | $2.71M |
| Valley Health Systems, INC. | Barboursville, WV | $2.70M |
| Valley Health Systems, INC. | Huntington, WV | $1.81M |
| Valley Health Systems, INC. | Huntington, WV | $1.40M |
| Valley Health Systems, INC | Huntington, WV | $1.22M |
| Valley Health Systems INC | Kermit, WV | $1.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.