GRACE FAMILY DENTAL LLC
NPI: 1811224686
· WORCESTER, MA 01605
· 122300000X
$1.27M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,018 |
$138K |
| 2019 |
4,134 |
$161K |
| 2020 |
2,618 |
$85K |
| 2021 |
4,124 |
$338K |
| 2022 |
3,040 |
$213K |
| 2023 |
3,502 |
$228K |
| 2024 |
2,544 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2751 |
|
619 |
392 |
$344K |
| D1110 |
|
5,027 |
4,881 |
$265K |
| D0120 |
|
5,203 |
5,067 |
$120K |
| D0274 |
|
2,581 |
2,508 |
$93K |
| D1120 |
|
1,258 |
1,229 |
$63K |
| D2392 |
|
732 |
496 |
$59K |
| D1208 |
|
1,774 |
1,744 |
$51K |
| D3330 |
|
67 |
65 |
$39K |
| D7210 |
|
287 |
121 |
$38K |
| D2954 |
|
209 |
153 |
$36K |
| D0220 |
|
2,242 |
2,116 |
$34K |
| D0140 |
|
825 |
785 |
$31K |
| D0150 |
|
798 |
750 |
$31K |
| D0210 |
|
268 |
251 |
$18K |
| D0230 |
|
1,618 |
872 |
$16K |
| D2950 |
|
74 |
51 |
$12K |
| D3320 |
|
21 |
14 |
$10K |
| D1351 |
|
146 |
28 |
$6K |
| D2391 |
|
65 |
37 |
$4K |
| D2393 |
|
14 |
12 |
$1K |
| D9110 |
|
28 |
25 |
$900.00 |
| D1999 |
|
124 |
104 |
$0.00 |