Dental
Grace Family Dental LLC
Grace Family Dental LLC was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 27% of everything it billed.
33Billing provider infoGRACE FAMILY DENTAL LLC
WORCESTER, MA 01605
WORCESTER, MA 01605
33aNPI1811224686assigned 11/15/2009
33bProvider typeDentist
28Total paid$1.27M
24GClaims23,980
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#57 of 413
Median peer was paid$93K
This provider vs. median14×
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 | 4,018 | $138K | |
| 2019 | 4,134 | $161K | |
| 2020 | 2,618 | $85K | |
| 2021 | 4,124 | $338K | |
| 2022 | 3,040 | $213K | |
| 2023 | 3,502 | $228K | |
| 2024incomplete | 2,544 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 27% | 619 | 392 | $344K |
| D1110 | Prophylaxis - adult | 21% | 5,027 | 4,881 | $265K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 5,203 | 5,067 | $120K |
| D0274 | Bitewings - four radiographic images | 7.3% | 2,581 | 2,508 | $93K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 1,258 | 1,229 | $63K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 732 | 496 | $59K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 1,774 | 1,744 | $51K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.0% | 67 | 65 | $39K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.0% | 287 | 121 | $38K |
| D2954 | 2.8% | 209 | 153 | $36K | |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 2,242 | 2,116 | $34K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 825 | 785 | $31K |
10 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 798 | $31K |
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 268 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 1,618 | $16K |
| D2950 | <1% | 74 | $12K | |
| D3320 | <1% | 21 | $10K | |
| D1351 | Sealant - per tooth | <1% | 146 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 65 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $1K |
| D9110 | <1% | 28 | $900.00 | |
| D1999 | 0% | 124 | $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 officialMUNDRA, HARJEET (OWNER)