Dental
Park, Grace
Park, Grace was paid $108K by Medicaid between Feb 2018 and Feb 2022, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoPARK, GRACE
GRESHAM, OR 97080
GRESHAM, OR 97080
33aNPI1871602722assigned 08/30/2006
33bProvider typeDentist
28Total paid$108K
24GClaims3,566
24DCodes billed13
24AFirst – last monthFeb 2018 – Feb 2022
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#68 of 233
Median peer was paid$19K
This provider vs. median5.8×
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 | 257 | $7K | |
| 2019 | 160 | $5K | |
| 2020 | 1,167 | $34K | |
| 2021 | 1,665 | $53K | |
| 2022 | 317 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 642 | 641 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 626 | 626 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 207 | 121 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 384 | 383 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 8.8% | 180 | 180 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 580 | 568 | $7K |
| D0274 | Bitewings - four radiographic images | 4.2% | 170 | 170 | $4K |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 128 | 126 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 359 | 319 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 35 | 25 | $2K |
| D1206 | Topical application of fluoride varnish | 1.4% | 80 | 80 | $1K |
| D1999 | 1.1% | 162 | 130 | $1K |
1 more codes
| D1120 | Dental cleaning, child | <1% | 13 | $520.00 |
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.