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MRS. GRACE UNEHAE LEE MD DMD
NPI 1407903131
Dentist - Oral and Maxillofacial Surgery in Sacramento, CA

Active since January 04, 2007Opted out of Medicare · through Oct 1, 2027
3604 FAIR OAKS BLVD, SUITE 1A, SACRAMENTO, CA 95864(916) 283-8818(916) 283-8815 Get Directions Write a Review

NPPES record last updated: May 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Grace Unehae Lee Md Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GRACE UNEHAE LEE MD DMD (NPI 1407903131) is an individual oral and maxillofacial surgery provider in Sacramento, California, licensed in California (C51714) and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407903131
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameMRS. GRACE UNEHAE LEECredential: MD DMD
Location Address3604 FAIR OAKS BLVD, SUITE 1ASacramento, CA 95864-7256
Mailing Address2398 Fair Oaks Blvd, Suite 1aSacramento, CA 95825 · (916) 283-8818 · Fax (916) 283-8815
Phone(916) 283-8818
Fax(916) 283-8815
Sole ProprietorYes
Enumeration DateJanuary 4, 2007
Last NPPES UpdateMay 8, 2021
NPPES CertifiedMay 8, 2021
✔ NPI 1407903131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · C51714
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3604 FAIR OAKS BLVD, Sacramento, CA 95864
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Grace Unehae Lee Md Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALLEY ORAL AND MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
3604 FAIR OAKS BLVD, SUITE 100
SACRAMENTO, CA 95864
Sacramento County (916) 217-1591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Lee's NPI number?

The NPI number for Grace Lee is 1407903131. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Grace Lee located?

Grace Lee practices at 3604 Fair Oaks Blvd Suite 1A, Sacramento, CA 95864. The listed phone number is (916) 283-8818.

What is Grace Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Grace Lee enrolled in Medicare?

No. Grace Lee has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Grace Lee was last updated on May 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.