Clinic
Grace Dental, P.A.
Grace Dental, P.A. was paid $839K by Medicaid between Jul 2018 and Dec 2024, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoGRACE DENTAL, P.A.
IRVING, TX 75061
IRVING, TX 75061
33aNPI1427275072assigned 04/18/2007
33bProvider typeDental Clinic/Center
28Total paid$839K
24GClaims37,650
24DCodes billed17
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#52 of 255
Median peer was paid$110K
This provider vs. median7.6×
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 | 24 | $522.60 | |
| 2020 | 1,213 | $28K | |
| 2021 | 10,904 | $252K | |
| 2022 | 9,802 | $222K | |
| 2023 | 9,405 | $204K | |
| 2024incomplete | 6,302 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 5,696 | 5,628 | $158K |
| D1110 | Prophylaxis - adult | 15% | 2,406 | 2,389 | $126K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 3,393 | 3,360 | $119K |
| D1208 | Topical application of fluoride, excluding varnish | 9.9% | 5,857 | 5,804 | $83K |
| D0274 | Bitewings - four radiographic images | 9.7% | 2,410 | 2,393 | $81K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 726 | 436 | $64K |
| D0272 | Bitewings - two radiographic images | 7.1% | 2,628 | 2,602 | $60K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 3,242 | 3,191 | $40K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 2,976 | 2,941 | $33K |
| D1351 | Sealant - per tooth | 3.5% | 1,139 | 117 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 301 | 184 | $22K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 843 | 746 | $21K |
5 more codes
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 officialLIM, SAMMY (PRESIDENT)