State of Tennessee
State of Tennessee was paid $372K by Medicaid between Jan 2018 and Aug 2024, across 24 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 46% of everything it billed.
WINCHESTER, TN 37398
Next to other Public Health or Welfare Agency providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 16,172 | $236K | |
| 2019 | 7,711 | $120K | |
| 2020 | 235 | $6K | |
| 2021 | 57 | $2K | |
| 2022 | 301 | $4K | |
| 2023 | 230 | $3K | |
| 2024incomplete | 82 | $1K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 46% | 10,182 | 10,140 | $172K |
| D0190 | 26% | 9,643 | 9,605 | $95K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.2% | 1,080 | 1,036 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 203 | 195 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.2% | 357 | 355 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.7% | 439 | 432 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 833 | 783 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 108 | 107 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 103 | 68 | $6K |
| D1110 | Prophylaxis - adult | 1.5% | 135 | 133 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 33 | 25 | $2K |
| D1351 | Sealant - per tooth | <1% | 273 | 79 | $2K |
12 more codes
| 83655 | <1% | 144 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 98 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 55 | $1K |
| 90686 | <1% | 667 | $715.00 | |
| 0002A | <1% | 17 | $552.20 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $317.20 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $191.00 |
| 85018 | <1% | 75 | $173.19 | |
| 90715 | <1% | 42 | $150.44 | |
| 36416 | <1% | 77 | $137.35 | |
| 81025 | <1% | 17 | $81.19 | |
| 90461 | 0% | 168 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Tennesee Department of Health | Cleveland, TN | $483K |
| Tropical Garden Villas INC. | Lake Park, FL | $452K |
| State of Tennessee | Decatur, TN | $124K |
| Tennessee Department of Health | Athens, TN | $123K |
| State of Tennessee | Evensville, TN | $100K |
| State of Tennessee | Jasper, TN | $100K |
| State of Tennessee | Dunlap, TN | $61K |
| State of Tennessee | Altamont, TN | $50K |
| State of Tennessee | Benton, TN | $30K |
| State of Tennessee | Copperhill, TN | $27K |
| State of Tennesseee | Pikeville, TN | $12K |
| Shore Health and Rehab Products INC | Neptune, NJ | $969.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.