Dental
Luo, Gracie
Luo, Gracie was paid $61K by Medicaid between Jul 2024 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoLUO, GRACIE
SPRINGFIELD, PA 19064
SPRINGFIELD, PA 19064
33aNPI1437723376assigned 05/15/2021
33bProvider typePediatric Dentist
28Total paid$61K
24GClaims2,332
24DCodes billed13
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#140 of 237
Median peer was paid$109K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2024incomplete | 2,332 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 332 | 332 | $12K |
| D1206 | Topical application of fluoride varnish | 17% | 448 | 448 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 412 | 412 | $10K |
| D1110 | Prophylaxis - adult | 11% | 148 | 148 | $6K |
| D1330 | 8.0% | 412 | 412 | $5K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.0% | 83 | 82 | $4K |
| D0274 | Bitewings - four radiographic images | 6.2% | 148 | 148 | $4K |
| D0330 | Panoramic radiographic image | 4.6% | 87 | 87 | $3K |
| D0272 | Bitewings - two radiographic images | 3.7% | 126 | 126 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 31 | 24 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 45 | 45 | $1K |
| D0240 | <1% | 45 | 24 | $544.20 |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | $124.40 |
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.