Is THREE LOWER COUNTIES COMMUNITY SERVICES, INC. flagged for Medicaid fraud?

THREE LOWER COUNTIES COMMUNITY SERVICES, INC. (NPI: 1407849920) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does THREE LOWER COUNTIES COMMUNITY SERVICES, INC. bill Medicaid?

THREE LOWER COUNTIES COMMUNITY SERVICES, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Federally Qualified Health Center (FQHC) provider. Located in PRINCESS ANNE, MD.

What is NPI 1407849920?

NPI 1407849920 is the National Provider Identifier for THREE LOWER COUNTIES COMMUNITY SERVICES, INC.. They are a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in PRINCESS ANNE, MD. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

THREE LOWER COUNTIES COMMUNITY SERVICES, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·PRINCESS ANNE, MD·NPI: 1407849920Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.3M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$23.3M

$23,291,208

Total Claims

371K

Beneficiaries

347K

1.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018

$3.2M

+34%

2019

$4.3M

-47%

2020

$2.3M

+15%

2021

$2.6M

+15%

2022

$3.0M

+36%

2023

$4.1M

-7%

2024

$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0999 (Unspecified diagnostic procedure, by report)) accounts for 100% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

D0999Unspecified diagnostic procedure, by reportSee all providers →

$23.3M

125K claims

$186.89

$101.33

1.8×

Normal range

D0999Normal range

Unspecified diagnostic procedure, by report

$23.3M

125K claims · 100.0%

Your Cost: $186.89/claim|Median: $101.33

1.8× median

D2392Resin-based composite, two surfaces, posteriorSee all providers →

$840

6,581 claims

$0.13

$71.00

0.0×

Normal range

D2392Normal range

Resin-based composite, two surfaces, posterior

$840

6,581 claims · 0.0%

Your Cost: $0.13/claim|Median: $71.00

0.0× median

D1206Topical application of fluoride varnishSee all providers →

$623

76K claims

$0.01

$18.12

0.0×

Normal range

D1206Normal range

Topical application of fluoride varnish

$623

76K claims · 0.0%

Your Cost: $0.01/claim|Median: $18.12

0.0× median

D1120Prophylaxis, adultSee all providers →

$552

32K claims

$0.02

$33.86

0.0×

Normal range

D1120Normal range

Prophylaxis, adult

$552

32K claims · 0.0%

Your Cost: $0.02/claim|Median: $33.86

0.0× median

D0140Limited oral evaluation, problem focusedSee all providers →

$302

14K claims

$0.02

$27.07

0.0×

Normal range

D0140Normal range

Limited oral evaluation, problem focused

$302

14K claims · 0.0%

Your Cost: $0.02/claim|Median: $27.07

0.0× median

D0150Comprehensive oral evaluation, new or established patientSee all providers →

$206

8,015 claims

$0.03

$32.07

0.0×

Normal range

D0150Normal range

Comprehensive oral evaluation, new or established patient

$206

8,015 claims · 0.0%

Your Cost: $0.03/claim|Median: $32.07

0.0× median

D2391Resin-based composite, one surface, posteriorSee all providers →

$186

5,262 claims

$0.04

$54.60

0.0×

Normal range

D2391Normal range

Resin-based composite, one surface, posterior

$186

5,262 claims · 0.0%

Your Cost: $0.04/claim|Median: $54.60

0.0× median

D0120Periodic oral evaluation, established patientSee all providers →

$145

31K claims

$0.00

$24.34

0.0×

Normal range

D0120Normal range

Periodic oral evaluation, established patient

$145

31K claims · 0.0%

Your Cost: $0.00/claim|Median: $24.34

0.0× median

D7140Extraction, erupted tooth or exposed rootSee all providers →

$103

4,165 claims

$0.02

$57.39

0.0×

Normal range

D7140Normal range

Extraction, erupted tooth or exposed root

$103

4,165 claims · 0.0%

Your Cost: $0.02/claim|Median: $57.39

0.0× median

D1351Sealant, per toothSee all providers →

$100

12K claims

$0.01

$26.10

0.0×

Normal range

D1351Normal range

Sealant, per tooth

$100

12K claims · 0.0%

Your Cost: $0.01/claim|Median: $26.10

0.0× median

D0272Bitewings, two radiographic imagesSee all providers →

$90

14K claims

$0.01

$15.81

0.0×

Normal range

D0272Normal range

Bitewings, two radiographic images

$90

14K claims · 0.0%

Your Cost: $0.01/claim|Median: $15.81

0.0× median

D0330Panoramic radiographic imageSee all providers →

$84

6,326 claims

$0.01

$37.36

0.0×

Normal range

D0330Normal range

Panoramic radiographic image

$84

6,326 claims · 0.0%

Your Cost: $0.01/claim|Median: $37.36

0.0× median

D0145Oral evaluation for patient under 3 years, counselingSee all providers →

$80

1,860 claims

$0.04

$57.30

0.0×

Normal range

D0145Normal range

Oral evaluation for patient under 3 years, counseling

$80

1,860 claims · 0.0%

Your Cost: $0.04/claim|Median: $57.30

0.0× median

D1208Topical application of fluoride, excluding varnishSee all providers →

$23

268 claims

$0.09

$14.36

0.0×

Normal range

D1208Normal range

Topical application of fluoride, excluding varnish

$23

268 claims · 0.0%

Your Cost: $0.09/claim|Median: $14.36

0.0× median

D9230Inhalation of nitrous oxide/analgesia, anxiolysisSee all providers →

$18

433 claims

$0.04

$26.24

0.0×

Normal range

D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$18

433 claims · 0.0%

Your Cost: $0.04/claim|Median: $26.24

0.0× median

D0220Intraoral periapical radiographic image, first filmSee all providers →

$18

10K claims

$0.00

$10.51

0.0×

Normal range

D0220Normal range

Intraoral periapical radiographic image, first film

$18

10K claims · 0.0%

Your Cost: $0.00/claim|Median: $10.51

0.0× median

D9910 See all providers →

$10

2,112 claims

$0.00

$45.26

0.0×

Normal range

D9910Normal range

$10

2,112 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.26

0.0× median

D2393Resin-based composite, three surfaces, posteriorSee all providers →

154 claims

$0.00

$84.26

—

Normal range

D2393Normal range

Resin-based composite, three surfaces, posterior

154 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.26

D3120 See all providers →

105 claims

$0.00

$24.98

—

Normal range

D3120Normal range

105 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.98

D2940 See all providers →

210 claims

$0.00

$34.80

—

Normal range

D2940Normal range

210 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.80

D0274Bitewings, four radiographic imagesSee all providers →

5,936 claims

$0.00

$22.54

—

Normal range

D0274Normal range

Bitewings, four radiographic images

5,936 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.54

D2331Resin-based composite filling, two surfaces, anteriorSee all providers →

17 claims

$0.00

$73.58

—

Normal range

D2331Normal range

Resin-based composite filling, two surfaces, anterior

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.58

D4355 See all providers →

263 claims

$0.00

$64.42

—

Normal range

D4355Normal range

263 claims · 0.0%

Your Cost: $0.00/claim|Median: $64.42

D2930Prefabricated stainless steel crown, primary toothSee all providers →

2,445 claims

$0.00

$120.85

—

Normal range

D2930Normal range

Prefabricated stainless steel crown, primary tooth

2,445 claims · 0.0%

Your Cost: $0.00/claim|Median: $120.85

D0270 See all providers →

1,478 claims

$0.00

$5.46

—

Normal range

D0270Normal range

1,478 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.46

D0240 See all providers →

14 claims

$0.00

$15.24

—

Normal range

D0240Normal range

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.24

D7111 See all providers →

17 claims

$0.00

$49.49

—

Normal range

D7111Normal range

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.49

D0210Intraoral, complete series of radiographic imagesSee all providers →

2,828 claims

$0.00

$46.33

—

Normal range

D0210Normal range

Intraoral, complete series of radiographic images

2,828 claims · 0.0%

Your Cost: $0.00/claim|Median: $46.33

D0230Intraoral, periapical radiographic image, first filmSee all providers →

711 claims

$0.00

$7.33

—

Normal range

D0230Normal range

Intraoral, periapical radiographic image, first film

711 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.33

D1110Prophylaxis, adult cleaningSee all providers →

8,385 claims

$0.00

$43.38

—

Normal range

D1110Normal range

Prophylaxis, adult cleaning

8,385 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.38

Other Top Providers in Maryland

View all →

Mid Atlantic Pemanente Medical Group

Health Maintenance Organization

$317.6M

Genedx LLC

Medical Genetics, Ph.D. Medical Genetics

$215.3M

Quest Diagnostics Incorporated MD

Clinical Medical Laboratory

$121.8M

Baltimore Medical System INC

Clinic/Center Federally Qualified Health Center (

$121.2M

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providers All providers in Maryland →How we detect fraud →