DR. GRACE KOH DDS
NPI 1497769913
Dentist - Periodontics in Buffalo Grove, IL
NPI Status: Active since July 28, 2006
Contact Information
1501 W DUNDEE RD
#108
BUFFALO GROVE, IL
ZIP 60089
Phone: (847) 818-9950
- Individual
- Female
- Dentist
- Periodontics
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About GRACE KOH
This page provides the complete NPI Profile along with additional information for Grace Koh, a provider established in Buffalo Grove, Illinois with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1497769913 assigned on July 2006. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1497769913
- Provider Name
- DR. GRACE KOH DDS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1501 W DUNDEE RD #108 BUFFALO GROVE, IL 60089
- Location Phone
- (847) 818-9950
- Mailing Address
- 1501 W DUNDEE RD #108 BUFFALO GROVE, IL 60089
- Mailing Phone
- (847) 818-9950
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-28-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Grace Koh is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Grace Koh opted out of Medicare effective on 12-19-2016 until 12-19-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License State
- IL
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Delta Dental Individual and Family High Plan - PPO
- Delta Dental Individual and Family Low Plan - PPO
- Delta Dental Individual and Family Low Plan Major - PPO
- Delta Dental PPO Plus Premier Family Plan High Option - PPO
- Delta Dental PPO Plus Premier Family Plan Low Option - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Alabama Preferred Plan - PPO
- Alabama Preferred Plan (Pediatric Only) - PPO
- Alabama Preferred Plus Plan - PPO
- Alabama Preferred Plus Plan (Pediatric Only) - PPO
- Alabama Wellness Essentials Plan - PPO
- Florida Preferred Plan - PPO
- Florida Preferred Plan (Pediatric Only) - PPO
- Florida Preferred Plus Plan - PPO
- Florida Preferred Plus Plan (Pediatric Only) - PPO
- Florida Wellness Essentials Plan - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Grace Koh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-19-2016
Opt-Out End Date: 12-19-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60089 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $93.02
- Minimum New Patient Price $59.81
- Maximum New Patient Price $181.38
- Average New Patient Copayment $23.25
- Minimum New Patient Copayment $14.95
- Maximum New Patient Copayment $45.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.38
- Minimum Established Patient Price $19.15
- Maximum Established Patient Price $147.12
- Average Established Patient Copayment $18.59
- Minimum Established Patient Copayment $4.78
- Maximum Established Patient Copayment $36.78
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. GRACE KOH DDS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 7 | 6 | 9 | 9 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 6 | 18 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 6 + 1 + 8 + 9 + 2 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1497769913 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083628580 | DR. ARNOLD M FREEMAN DDS Individual | Dentist (Periodontics) | 1501 W DUNDEE RD #108 BUFFALO GROVE, IL 60089 (847) 818-9950 |
| 1245339886 | DR. ROBERT IRWIN HECHT D.D.S. Individual | Dentist (General Practice) | 1501 W DUNDEE RD SUITE 102 BUFFALO GROVE, IL 60089 (847) 398-6310 |
| 1982763355 | DR. ALEX STRILTSCHUK DDS Individual | Dentist | 1501 W DUNDEE RD 101 BUFFALO GROVE, IL 60089 (847) 398-5880 |
| 1083742738 | JERRY SKOGMO LCPC Individual | Counselor (Professional) | 1501 W DUNDEE RD SUITE 106 BUFFALO GROVE, IL 60089 (847) 634-8883 |
| 1245361633 | MRS. MELINDA RICHTER SKOGMO MSW, LCSW Individual | Social Worker (Clinical) | 1501 W DUNDEE RD SUITE #106 BUFFALO GROVE, IL 60089 (847) 634-8883 |
| 1801048061 | DR. MARK ARTHUR LIND DDS Individual | Dentist (General Practice) | 1501 W DUNDEE RD BUFFALO GROVE, IL 60089 (847) 394-4333 |
| 1861762650 | THE CENTER FOR PERIODONTICS & IMPLANT DENTISTRY Organization | Dentist (Periodontics) | 1501 W DUNDEE RD #108 BUFFALO GROVE, IL 60089 (847) 818-9950 |
| 1427072180 | COUNTRY MEDICAL SUPPLY INC Organization | Durable Medical Equipment & Medical Supplies | 1501 W DUNDEE RD SUITE 107 BUFFALO GROVE, IL 60089 (847) 454-1300 |
| 1912576299 | LIND DENTAL CARE PC Organization | Dentist (General Practice) | 1501 W DUNDEE RD BUFFALO GROVE, IL 60089 (847) 394-4333 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497769913, enumerated in the NPI registry as an "individual" on July 28, 2006
The provider is located at 1501 W Dundee Rd #108 Buffalo Grove, Il 60089 and the phone number is (847) 818-9950
The provider's speciality is Dentist with taxonomy code 1223P0300X with a focus in Periodontics
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $93.02 with an average copayment of $23.25 for new patient appointments. Established patients should expect a typical charge of $74.38 and an average copayment of 18.59. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on December 19, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 19, 2026.
This NPI record was last updated on July 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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