Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Four Oaks › NPI 1932867199
Clinic

Tri County Community Health Council INC

Tri County Community Health Council INC was paid $61K by Medicaid between Mar 2023 and Jan 2024, across 15 billing codes. Its largest line is D1351, Sealant - per tooth — 19% of everything it billed.

33Billing provider infoTRI COUNTY COMMUNITY HEALTH COUNCIL INC
FOUR OAKS, NC 27524
33aNPI1932867199assigned 12/06/2021
28Total paid$61K
24GClaims3,460
24DCodes billed15
24AFirst – last monthMar 2023 – Jan 2024
Compared with peers

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

Rank by total paid#250 of 324
Median peer was paid$279K
This provider vs. median0.2×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20233,283$59K
2024incomplete177$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 19% 472 147 $12K
D1120 Dental cleaning, childProphylaxis - child 18% 395 383 $11K
D0150 Comprehensive oral evaluation - new or established patient 16% 219 214 $10K
D0330 Panoramic radiographic image 10% 140 133 $6K
D1206 Topical application of fluoride varnish 8.7% 362 346 $5K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.3% 190 182 $4K
D0272 Bitewings - two radiographic images 6.3% 263 255 $4K
D0220 Intraoral - periapical first radiographic image 4.7% 195 185 $3K
D0230 Intraoral - periapical each additional radiographic image 3.9% 198 180 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.4% 19 16 $2K
D1208 Topical application of fluoride, excluding varnish 2.0% 76 74 $1K
D1354 <1% 54 13 $269.50
3 more codes
D1330 0% 344 $0.00
D1310 0% 338 $0.00
D0603 0% 195 $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 officialELLISON, WILIAM (REVENUE CYCLE MANAGER)
Parent organizationTRI COUNTY COMMUNITY HEALTH COUNCIL INC