Dental
Grace Family Dentistry
Grace Family Dentistry was paid $609K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.
33Billing provider infoGRACE FAMILY DENTISTRY
CONCORD, NH 03301
CONCORD, NH 03301
33aNPI1861457665assigned 04/18/2006
33bProvider typeDentist
28Total paid$609K
24GClaims18,312
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New Hampshire
Rank by total paid#5 of 46
Median peer was paid$6K
This provider vs. median99×
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 | 3,829 | $119K | |
| 2019 | 3,841 | $119K | |
| 2020 | 2,371 | $77K | |
| 2021 | 2,801 | $96K | |
| 2022 | 2,645 | $90K | |
| 2023 | 1,617 | $57K | |
| 2024incomplete | 1,208 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 7,500 | 7,413 | $234K |
| D1110 | Prophylaxis - adult | 23% | 2,634 | 2,603 | $143K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 3,351 | 3,318 | $127K |
| D1206 | Topical application of fluoride varnish | 8.0% | 2,623 | 2,594 | $49K |
| D0272 | Bitewings - two radiographic images | 3.0% | 678 | 674 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 981 | 972 | $17K |
| D1354 | <1% | 246 | 78 | $6K | |
| D0274 | Bitewings - four radiographic images | <1% | 137 | 135 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 51 | 39 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 35 | 35 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 15 | 12 | $2K |
| D1351 | Sealant - per tooth | <1% | 32 | 12 | $934.50 |
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 officialMCCULLOCH, ALEX (DENTIST PARTNER)