Clinic
Grace Dental Studio, LLC
Grace Dental Studio, LLC was paid $24K by Medicaid between Oct 2020 and Jul 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 58% of everything it billed.
33Billing provider infoGRACE DENTAL STUDIO, LLC
GLENDALE, NY 11385
GLENDALE, NY 11385
33aNPI1497912372assigned 05/19/2008
33bProvider typeDental Clinic/Center
28Total paid$24K
24GClaims1,271
24DCodes billed7
24AFirst – last monthOct 2020 – Jul 2024
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#136 of 188
Median peer was paid$113K
This provider vs. median0.2×
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 | 52 | $836.00 | |
| 2021 | 543 | $11K | |
| 2022 | 472 | $8K | |
| 2023 | 168 | $3K | |
| 2024incomplete | 36 | $864.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 58% | 437 | 436 | $14K |
| D0274 | Bitewings - four radiographic images | 17% | 313 | 313 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 199 | 198 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 152 | 150 | $928.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 134 | 134 | $524.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 24 | 24 | $504.00 |
| D0330 | Panoramic radiographic image | 1.3% | 12 | 12 | $308.00 |
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 officialHAN, GRACE (MEMBER)