Medicaid Provider Spending

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

PIEDMONT HEALTH SERVICES, INC

NPI: 1851723951 · MONCURE, NC 27559 · 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

$470K
Total Medicaid Paid
18,782
Total Claims
17,532
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
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. SILER CITY NC $228K
PIEDMONT HEALTH SERVICES, INC. PROSPECT HILL NC $127K
PIEDMONT HEALTH SERVICES, INC CARRBORO NC $11K
PIEDMONT HEALTH SERVICES, INC CARRBORO NC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,697 $96K
2019 3,536 $94K
2020 2,490 $61K
2021 3,168 $79K
2022 1,953 $42K
2023 1,863 $45K
2024 2,075 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 4,222 4,090 $106K
D1206 Topical application of fluoride varnish 4,249 4,110 $66K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 623 405 $64K
D1120 Prophylaxis - child 2,373 2,304 $63K
D1110 Prophylaxis - adult 994 951 $36K
D0150 Comprehensive oral evaluation - new or established patient 837 793 $33K
D0220 Intraoral - periapical first radiographic image 2,206 2,100 $32K
D2391 Resin-based composite - one surface, posterior, primary or permanent 365 231 $28K
D0230 Intraoral - periapical each additional radiographic image 1,905 1,607 $22K
D0274 Bitewings - four radiographic images 391 369 $11K
D0272 Bitewings - two radiographic images 499 484 $8K
D1351 Sealant - per tooth 33 13 $1K
D0210 Intraoral - complete series of radiographic images 18 14 $976.04
D0140 Limited oral evaluation - problem focused 19 13 $529.02
D1330 48 48 $0.00