Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Piedmont Health Services, INC

Piedmont Health Services, INC was paid $470K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.

33Billing provider infoPIEDMONT HEALTH SERVICES, INC
MONCURE, NC 27559
33aNPI1851723951assigned 07/31/2013
28Total paid$470K
24GClaims18,782
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in North Carolina

Rank by total paid#135 of 324
Median peer was paid$279K
This provider vs. median1.7×

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 TOOMEY, BRIAN controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,697$96K
20193,536$94K
20202,490$61K
20213,168$79K
20221,953$42K
20231,863$45K
2024incomplete2,075$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 22% 4,222 4,090 $106K
D1206 Topical application of fluoride varnish 14% 4,249 4,110 $66K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 14% 623 405 $64K
D1120 Dental cleaning, childProphylaxis - child 13% 2,373 2,304 $63K
D1110 Prophylaxis - adult 7.6% 994 951 $36K
D0150 Comprehensive oral evaluation - new or established patient 7.0% 837 793 $33K
D0220 Intraoral - periapical first radiographic image 6.7% 2,206 2,100 $32K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.9% 365 231 $28K
D0230 Intraoral - periapical each additional radiographic image 4.6% 1,905 1,607 $22K
D0274 Bitewings - four radiographic images 2.3% 391 369 $11K
D0272 Bitewings - two radiographic images 1.8% 499 484 $8K
D1351 Sealant - per tooth <1% 33 13 $1K
3 more codes
D0210 Intraoral - complete series of radiographic images <1% 18 $976.04
D0140 Limited oral evaluation - problem focused <1% 19 $529.02
D1330 0% 48 $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 officialTOOMEY, BRIAN (CEO)
Same official

Other billing entities under TOOMEY, BRIAN

Full network →
ProviderLocationPaid
Piedmont Health Services, INCCarrboro, NC$16.87M
Piedmont Health Services, INCBurlington, NC$6.22M
Piedmont Health Services, INCBurlington, NC$3.31M
Piedmont Health Services, INCBurlington, NC$2.76M
Piedmont Health Services, INCSiler City, NC$2.00M
Piedmont Health Services, INCProspect 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, INCCarrboro, NC$11K
Piedmont Health Services, INCCarrboro, NC$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.