GREAT SMILE DENTAL PLLC SOS Verified
8445 W FLAMINGO RD, LAS VEGAS, NV 89147
NPI Number
1568071827
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Smile! DENTAL
Entity Number: E7340342020-2
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 2020-06-18
Status Changed: 2020-06-18
Name Match: 85%
Registered Agent
Name: Julia Le
Type: Non-Commercial Registered Agent
Address: 28 Brandermill Drive, Henderson, NV, 89052
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | Julia Le | 28 Brandermill Drive, Henderson, NV | Active |
| Secretary | Julia Le | 28 Brandermill Drive, Henderson, NV | Active |
| Treasurer | Julia Le | 28 Brandermill Drive, Henderson, NV | Active |
| Director | Julia Le | 28 Brandermill Drive, Henderson, NV | Active |
Total Medicaid Payments
$273,922
+10% vs specialty average
Patients Seen
11,846
Total Claims
16,135
$ Per Patient
$23
Specialty avg: $34
Specialty Rank
#1 of 3
Dentist, Dental Public Health providers in Nevada
Peer Average
$249,720
Average total for Dentist, Dental Public Health
Claims per Patient
1.4
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 |
|---|---|---|
| 2020 | $36,298 | |
| 2021 | $198,436 | |
| 2022 | $39,189 |
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 |
|---|---|---|---|---|---|
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 1,620 | $39,489 | 14.4% | $24 |
| D0274 | Dental X-ray — bitewings (four films) | 1,805 | $32,149 | 11.7% | $18 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 944 | $30,885 | 11.3% | $33 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 1,004 | $28,579 | 10.4% | $28 |
| D1120 | Dental cleaning for children (prophylaxis) | 774 | $27,900 | 10.2% | $36 |
| D0220 | Single dental X-ray (of one tooth) | 2,399 | $24,234 | 8.8% | $10 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 965 | $21,785 | 8.0% | $23 |
| D0230 | Additional dental X-ray | 3,350 | $16,368 | 6.0% | $5 |
| D0120 | Regular dental checkup and exam | 650 | $11,995 | 4.4% | $18 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 533 | $10,109 | 3.7% | $19 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 236 | $7,969 | 2.9% | $34 |
| D1110 | Dental cleaning for adults (prophylaxis) | 536 | $7,670 | 2.8% | $14 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 271 | $7,346 | 2.7% | $27 |
| D0999 | Dental exam, X-ray, or screening | 72 | $2,160 | 0.8% | $30 |
| D0602 | Dental exam, X-ray, or screening | 394 | $1,680 | 0.6% | $4 |
| D9999 | Other dental service | 72 | $1,440 | 0.5% | $20 |
| D0210 | Full set of dental X-rays | 23 | $1,120 | 0.4% | $49 |
| D0270 | Dental X-ray — bitewing (single film, checks for cavities between teeth) | 71 | $601 | 0.2% | $8 |
| D9110 | Emergency dental treatment — palliative (pain relief) | 27 | $442 | 0.2% | $16 |
| D0350 | Dental exam, X-ray, or screening | 95 | $0 | 0.0% | $0 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 294 | $0 | 0.0% | $0 |
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.