Dental
Lo, Grace
Lo, Grace was paid $2K by Medicaid between Jun 2018 and Aug 2021, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 56% of everything it billed.
33Billing provider infoLO, GRACE
ROCKY HILL, CT 06067
ROCKY HILL, CT 06067
33aNPI1306992623assigned 01/27/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims89
24DCodes billed3
24AFirst – last monthJun 2018 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#362 of 431
Median peer was paid$79K
This provider vs. median0.0×
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.
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 | 60 | $2K | |
| 2021 | 29 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 56% | 44 | 41 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 29 | 26 | $480.20 |
| D1206 | Topical application of fluoride varnish | 21% | 16 | 15 | $426.30 |
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.