P&G SMILES LLC SOS Verified
1450 W HORIZON RIDGE PKWY STE B308&309, HENDERSON, NV 89012
NPI Number
1508453648
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: P&G SMILES LLC
Entity Number: E0354642012-1
Entity Type: Domestic Professional LLC
Entity Status: Active
Formation Date: 2012-07-02
Name Match: 95%
Registered Agent
Name: Russell Garrett**
Type: Commercial Registered Agent
Address: 340 E. Warm Springs Rd. Ste 110, Las Vegas, NV, 89119
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | PRASHANTI BOLLU | 1450 W. Horizon Ridge Pkwy, Suite 308, Henderson, NV | Active |
| Manager | GIRIDHARA CHITTIVELU | 1450 W. Horizon Ridge Pkwy, Suite 308, Henderson, NV | Active |
Campaign Contributions
$3,442Total Contributed
Officer / Individual Matches
BOLLU, PRASHANTI DR.Probable Match
Matched via officer: PRASHANTI BOLLU (Manager)
$500 across 1 contribution
CHITTIVELU, GIRIDHARA K. DR.Probable Match
Matched via officer: GIRIDHARA CHITTIVELU (Manager)
$2,300 across 46 contributions
CHITTIVELU, GIRIDHARAProbable Match
Matched via officer: GIRIDHARA CHITTIVELU (Manager)
$642 across 19 contributions
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Total Medicaid Payments
$20,722
-95% vs specialty average
Patients Seen
623
Total Claims
669
$ Per Patient
$33
Specialty avg: $59
Specialty Rank
#29 of 41
Dentist, Orthodontics and Dentofacial Orthopedics providers in Nevada
Peer Average
$412,062
Average total for Dentist, Orthodontics and Dentofacial Orthopedics
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2023 | $2,201 | |
| 2024 | $18,522 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| D8660 | Braces or orthodontic treatment | 130 | $6,155 | 29.7% | $47 |
| D0340 | Dental exam, X-ray, or screening | 136 | $5,390 | 26.0% | $40 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 134 | $3,786 | 18.3% | $28 |
| D0470 | Dental exam, X-ray, or screening | 134 | $2,994 | 14.4% | $22 |
| D0350 | Dental exam, X-ray, or screening | 135 | $2,398 | 11.6% | $18 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.