Grace, Robert

Grace, Robert was paid $6K by Medicaid between Jun 2018 and May 2019, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 55% of everything it billed.

33Billing provider infoGRACE, ROBERT
LA PORTE, IN 46350

33aNPI1710927843assigned 06/07/2006

33bProvider typePublic Health Dentist

28Total paid$6K

24GClaims329

24DCodes billed6

24AFirst – last monthJun 2018 – May 2019

Compared with peers

Next to other Public Health Dentist providers in Indiana

Rank by total paid#5 of 8

Median peer was paid$6K

This provider vs. median1.0×

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
2018	205	$3K
2019	124	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	55%	107	76	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	111	90	$1K
D1206	Topical application of fluoride varnish	8.3%	40	29	$534.00
D0210	Intraoral - complete series of radiographic images	8.2%	24	13	$527.43
D0274	Bitewings - four radiographic images	2.9%	26	14	$186.40
D0330	Panoramic radiographic image	2.6%	21	12	$167.76

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.