Dental
JRL Dental Dba Grace Dental Care
JRL Dental Dba Grace Dental Care was paid $98K by Medicaid between Feb 2020 and Oct 2023, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoJRL DENTAL DBA GRACE DENTAL CARE
CHELYAN, WV 25035
CHELYAN, WV 25035
33aNPI1043866338assigned 08/13/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$98K
24GClaims3,826
24DCodes billed13
24AFirst – last monthFeb 2020 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#70 of 193
Median peer was paid$44K
This provider vs. median2.2×
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
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 | |
|---|---|---|---|
| 2020 | 495 | $6K | |
| 2021 | 1,688 | $58K | |
| 2022 | 1,107 | $23K | |
| 2023 | 536 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 173 | 88 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 823 | 711 | $12K |
| D1110 | Prophylaxis - adult | 10% | 187 | 177 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 108 | 44 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 1,411 | 440 | $10K |
| D0140 | Limited oral evaluation - problem focused | 7.3% | 194 | 178 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 197 | 190 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 6.2% | 73 | 27 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 279 | 234 | $5K |
| D0274 | Bitewings - four radiographic images | 4.3% | 122 | 117 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.2% | 147 | 116 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.2% | 91 | 82 | $3K |
1 more codes
| D1206 | Topical application of fluoride varnish | <1% | 21 | $440.00 |
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 officialLONG, JASON (OWNER)