Dental
Lee, Grace
Lee, Grace was paid $28K by Medicaid between Jul 2024 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoLEE, GRACE
CLIFTON, NJ 07011
CLIFTON, NJ 07011
33aNPI1821468455assigned 09/24/2015
33bProvider typeDentist
28Total paid$28K
24GClaims1,264
24DCodes billed9
24AFirst – last monthJul 2024 – Nov 2024
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#331 of 674
Median peer was paid$27K
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 | |
|---|---|---|---|
| 2024incomplete | 1,264 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 236 | 236 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 213 | 213 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 141 | 141 | $4K |
| D1206 | Topical application of fluoride varnish | 8.8% | 87 | 87 | $2K |
| D0274 | Bitewings - four radiographic images | 6.4% | 159 | 159 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 22 | 14 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 4.5% | 28 | 28 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 197 | 197 | $933.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 181 | 181 | $897.00 |
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.