Dental
Thomas, Grace
Thomas, Grace was paid $6K by Medicaid between Apr 2019 and May 2019, across 5 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 36% of everything it billed.
33Billing provider infoTHOMAS, GRACE
SOUTH PORTLAND, ME 04106
SOUTH PORTLAND, ME 04106
33aNPI1588876908assigned 05/06/2007
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$6K
24GClaims102
24DCodes billed5
24AFirst – last monthApr 2019 – May 2019
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Maine
Rank by total paid#12 of 12
Median peer was paid$921K
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 | |
|---|---|---|---|
| 2019 | 102 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 36% | 28 | 15 | $2K |
| D9243 | 26% | 16 | 16 | $2K | |
| D9239 | 21% | 17 | 17 | $1K | |
| D0330 | Panoramic radiographic image | 15% | 29 | 29 | $901.50 |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 12 | 12 | $142.00 |
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.