Agency
State of Tennessee
State of Tennessee was paid $359K by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 13% of everything it billed.
33Billing provider infoSTATE OF TENNESSEE
JACKSBORO, TN 37757
JACKSBORO, TN 37757
33aNPI1962540880assigned 02/02/2007
33bProvider typePublic Health or Welfare Agency
28Total paid$359K
24GClaims16,900
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Tennessee
Rank by total paid#19 of 109
Median peer was paid$121K
This provider vs. median3.0×
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 SHARP, MARIANNE controls 14+ 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 | |
|---|---|---|---|
| 2018 | 3,350 | $75K | |
| 2019 | 3,972 | $82K | |
| 2020 | 1,698 | $35K | |
| 2021 | 1,458 | $31K | |
| 2022 | 2,423 | $44K | |
| 2023 | 2,630 | $60K | |
| 2024incomplete | 1,369 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 13% | 2,385 | 2,378 | $47K |
| 99381 | 12% | 564 | 538 | $44K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 911 | 852 | $38K |
| 99401 | 9.9% | 1,288 | 1,163 | $36K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.3% | 520 | 510 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 253 | 193 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 626 | 623 | $17K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.7% | 1,402 | 1,341 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 211 | 137 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 388 | 388 | $13K |
| D0190 | 3.6% | 1,215 | 1,213 | $13K | |
| D0272 | Bitewings - two radiographic images | 2.8% | 713 | 713 | $10K |
30 more codes
| D1110 | Prophylaxis - adult | 2.7% | 242 | $10K |
| 81025 | 2.2% | 1,635 | $8K | |
| D0330 | Panoramic radiographic image | 2.0% | 203 | $7K |
| D0120 | Dental checkup, returning patient | 2.0% | 279 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 413 | $6K |
| D0274 | Bitewings - four radiographic images | 1.4% | 232 | $5K |
| D1351 | Sealant - per tooth | 1.0% | 646 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 78 | $2K |
| 92551 | <1% | 253 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 141 | $2K |
| 0001A | <1% | 46 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $1K |
| D1354 | <1% | 188 | $1K | |
| 99173 | <1% | 357 | $1K | |
| 96127 | <1% | 250 | $1K | |
| 90651 | <1% | 38 | $917.10 | |
| 85018 | <1% | 331 | $887.34 | |
| 0002A | <1% | 25 | $741.08 | |
| 36416 | <1% | 337 | $695.58 | |
| 90734 | <1% | 55 | $431.64 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 52 | $419.79 |
| 90707 | <1% | 14 | $395.45 | |
| 90688 | <1% | 59 | $350.00 | |
| 90715 | <1% | 33 | $145.67 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 40 | $48.40 |
| 90461 | <1% | 371 | $22.52 | |
| 90670 | 0% | 26 | $0.00 | |
| 99000 | 0% | 16 | $0.00 | |
| 90686 | 0% | 32 | $0.00 | |
| D1330 | 0% | 17 | $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 officialSHARP, MARIANNE (REGIONAL ACCOUNTANT)
| Provider | Location | Paid |
|---|---|---|
| State of Tennessee | Maryville, TN | $806K |
| State of Tennessee | Sevierville, TN | $495K |
| State of Tennessee | Morristown, TN | $406K |
| State of Tennessee | Clinton, TN | $353K |
| State of Tennessee | Huntsville, TN | $295K |
| State of Tennessee | Rockwood, TN | $209K |
| State of Tennessee | New Tazewell, TN | $191K |
| State of Tennessee | Dandridge, TN | $141K |
| State of Tennessee | Maynardville, TN | $139K |
| State of Tennessee | Madisonville, TN | $109K |
| State of Tennessee | Newport, TN | $108K |
| State of Tennessee | Loudon, TN | $105K |
| State of Tennessee | Rutledge, TN | $75K |
| State of Tennessee | Wartburg, TN | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.