Dental
Novant Health Medical Group Coastal Region, LLC
Novant Health Medical Group Coastal Region, LLC was paid $3.33M by Medicaid between Jun 2021 and Dec 2024, across 72 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 29% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1841877263assigned 03/24/2021
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$3.33M
24GClaims74,707
24DCodes billed72
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in North Carolina
Rank by total paid#9 of 67
Median peer was paid$407K
This provider vs. median8.2×
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 DAVIS, SHALA 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 | |
|---|---|---|---|
| 2021 | 11,405 | $788K | |
| 2022 | 21,429 | $964K | |
| 2023 | 19,286 | $654K | |
| 2024incomplete | 22,587 | $926K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 29% | 789 | 632 | $966K |
| 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 | 27% | 14,814 | 12,292 | $888K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 8,574 | 6,836 | $407K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 9,341 | 2,762 | $372K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 2.8% | 1,857 | 1,439 | $92K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 981 | 663 | $82K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1.9% | 524 | 318 | $65K |
| 76801 | 1.3% | 775 | 629 | $44K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 311 | 296 | $40K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 334 | 285 | $38K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.1% | 2,522 | 1,283 | $36K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.0% | 602 | 291 | $33K |
60 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 288 | $30K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,396 | $27K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 40 | $26K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 320 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 220 | $21K |
| 96127 | <1% | 6,004 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,455 | $18K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 175 | $14K |
| 59025 | Fetal non-stress test | <1% | 667 | $14K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 240 | $9K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 86 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 168 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 34 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 321 | $4K |
| 99441 | <1% | 164 | $4K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 45 | $4K |
| 80061 | Lipid panel | <1% | 250 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 32 | $3K |
| 99221 | <1% | 40 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,168 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 74 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 240 | $2K |
| 95251 | <1% | 133 | $2K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 15 | $2K |
| 90715 | <1% | 54 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 29 | $2K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 115 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 150 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 113 | $884.10 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $867.86 |
| 81025 | <1% | 165 | $838.58 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 52 | $829.23 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 36 | $723.92 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 36 | $723.92 |
| 99442 | <1% | 14 | $656.02 | |
| 99243 | <1% | 22 | $578.13 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 91 | $549.55 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 17 | $464.48 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 26 | $330.82 |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 87 | $264.77 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $207.70 |
| 85027 | <1% | 31 | $200.40 | |
| 96161 | <1% | 214 | $178.59 | |
| 80050 | General health panel | <1% | 14 | $120.66 |
| 92551 | <1% | 61 | $99.54 | |
| 90723 | <1% | 13 | $98.98 | |
| 86803 | <1% | 17 | $89.45 | |
| 0500F | <1% | 1,907 | $79.35 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 35 | $75.39 |
| 87081 | <1% | 16 | $65.25 | |
| 82962 | <1% | 21 | $39.19 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 17 | $20.30 |
| 99173 | <1% | 61 | $8.00 | |
| 3074F | 0% | 7,035 | $0.00 | |
| 3079F | 0% | 2,276 | $0.00 | |
| 3075F | 0% | 387 | $0.00 | |
| 90677 | 0% | 15 | $0.00 | |
| 3078F | 0% | 5,235 | $0.00 | |
| 0502F | 0% | 296 | $0.00 | |
| 3077F | 0% | 15 | $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 officialDAVIS, SHALA (RCS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Novant Medical Group, INC. | Charlotte, NC | $2.82M |
| Forsyth Memorial Hospital INC | Lewisville, NC | $338K |
| Forsyth Memorial Hospital INC | Lexington, NC | $299K |
| Novant Medical Group, INC. | Charlotte, NC | $170K |
| Novant Medical Group INC | Charlotte, NC | $128K |
| Forsyth Memorial Hospital, INC | Clemmons, NC | $121K |
| Novant Medical Group. INC. | Lexington, NC | $113K |
| Novant Medical Group, INC. | Charlotte, NC | $106K |
| Novant Medical Group, INC | Kernersville, NC | $104K |
| Novant Medical Group, INC. | Matthews, NC | $88K |
| Novant Medical Group, INC | Cornelius, NC | $73K |
| NMG Affiliate Practice I, LLC | Gainesville, VA | $65K |
| Novant Health Medical Group, LLC | Indian Land, SC | $61K |
| Forsyth Memorial Hospital INC | Winston Salem, NC | $56K |
| Novant Medical Group, INC. | Rock Hill, SC | $50K |
| Novant Medical Group. INC. | Thomasville, NC | $49K |
| Forsyth Memorial Hospital INC | Winston Salem, NC | $47K |
| Forsyth Memorial Hospital INC | Thomasville, NC | $40K |
| Novant Medical Group INC | Charlotte, NC | $38K |
| Novant Medical Group, INC. | Charlotte, NC | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.