Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Grace Dental Union City, LLC

Grace Dental Union City, LLC was paid $169K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.

33Billing provider infoGRACE DENTAL UNION CITY, LLC
UNION CITY, NJ 07087
33aNPI1609389816assigned 11/09/2017
33bProvider typeClinic/Center
28Total paid$169K
24GClaims22,562
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Clinic/Center providers in New Jersey

Rank by total paid#56 of 97
Median peer was paid$318K
This provider vs. median0.5×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20182,524$27K
20193,141$31K
20201,980$14K
20212,593$20K
20223,725$22K
20234,787$29K
2024incomplete3,812$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 22% 3,265 3,229 $38K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 20% 2,685 2,652 $34K
D0210 Intraoral - complete series of radiographic images 11% 1,122 1,109 $18K
D0150 Comprehensive oral evaluation - new or established patient 11% 1,278 1,264 $18K
D0230 Intraoral - periapical each additional radiographic image 10% 6,774 3,659 $17K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.6% 484 278 $11K
D0220 Intraoral - periapical first radiographic image 5.7% 4,075 3,610 $10K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 3.5% 244 126 $6K
D0272 Bitewings - two radiographic images 2.5% 1,646 1,605 $4K
D2335 2.4% 166 64 $4K
D0274 Bitewings - four radiographic images 1.4% 353 353 $2K
D2750 1.2% 15 12 $2K
6 more codes
D1120 Dental cleaning, child 1.1% 142 $2K
D1208 Topical application of fluoride, excluding varnish <1% 107 $893.50
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 42 $780.00
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 20 $394.00
D0140 Limited oral evaluation - problem focused <1% 51 $368.00
D1999 0% 93 $0.00

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 officialLEE, MICHAEL (OWNER)
Same official

Other billing entities under LEE, MICHAEL

Full network →
ProviderLocationPaid
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Michael Lee Medical Doctor INCSanta Barbara, CA$51K
Michael H Lee D.D.S.IncRowland Heights, CA$7K
Michael Lee DDS PLLCRedmond, WA$6K
Columbus Optical DispensaryColumbus, MS$3K
Weeks Medical CenterLittleton, NH$1K
Desert Medical Specialists INCIndio, CA$191.50

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.