RADIANT SMILES SERIES 1 LLC
1825 S NELLIS BLVD, LAS VEGAS, NV 89104
NPI Number
1841506995
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$452,717
+8% vs specialty average
Patients Seen
14,854
Total Claims
18,846
$ Per Patient
$30
Specialty avg: $36
Specialty Rank
#30 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.3
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 |
|---|---|---|
| 2018 | $6,591 | |
| 2019 | $40,547 | |
| 2020 | $47,173 | |
| 2021 | $122,968 | |
| 2022 | $106,246 | |
| 2023 | $85,136 | |
| 2024 | $44,057 |
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 |
|---|---|---|---|---|---|
| D0210 | Full set of dental X-rays | 1,567 | $72,839 | 16.1% | $46 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 2,050 | $60,599 | 13.4% | $30 |
| D1120 | Dental cleaning for children (prophylaxis) | 1,120 | $44,851 | 9.9% | $40 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 1,590 | $41,349 | 9.1% | $26 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 1,986 | $39,786 | 8.8% | $20 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 1,085 | $34,916 | 7.7% | $32 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 1,161 | $34,580 | 7.6% | $30 |
| D0274 | Dental X-ray — bitewings (four films) | 1,181 | $22,982 | 5.1% | $19 |
| D0220 | Single dental X-ray (of one tooth) | 1,755 | $19,674 | 4.3% | $11 |
| D1110 | Dental cleaning for adults (prophylaxis) | 712 | $19,651 | 4.3% | $28 |
| D0120 | Regular dental checkup and exam | 953 | $18,664 | 4.1% | $20 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 341 | $16,104 | 3.6% | $47 |
| D0230 | Additional dental X-ray | 2,426 | $12,407 | 2.7% | $5 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 572 | $5,006 | 1.1% | $9 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 118 | $3,662 | 0.8% | $31 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 65 | $2,669 | 0.6% | $41 |
| D0999 | Dental exam, X-ray, or screening | 47 | $1,410 | 0.3% | $30 |
| D0350 | Dental exam, X-ray, or screening | 40 | $697 | 0.2% | $17 |
| D9999 | Other dental service | 30 | $600 | 0.1% | $20 |
| D0270 | Dental X-ray — bitewing (single film, checks for cavities between teeth) | 27 | $271 | 0.1% | $10 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 20 | $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.