Dental
Bonanza Dental Partners
Bonanza Dental Partners was paid $30K by Medicaid between Dec 2023 and Nov 2024, across 13 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 23% of everything it billed.
33Billing provider infoBONANZA DENTAL PARTNERS
LAS VEGAS, NV 89101
LAS VEGAS, NV 89101
33aNPI1114432531assigned 12/07/2017
33bProvider typeDentist
28Total paid$30K
24GClaims1,233
24DCodes billed13
24AFirst – last monthDec 2023 – Nov 2024
Compared with peers
Next to other Dentist providers in Nevada
Rank by total paid#131 of 191
Median peer was paid$67K
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 34 | $1K | |
| 2024incomplete | 1,199 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 23% | 132 | 130 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 238 | 236 | $6K |
| D0274 | Bitewings - four radiographic images | 11% | 146 | 145 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 9.9% | 213 | 212 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.4% | 51 | 12 | $2K |
| D1351 | Sealant - per tooth | 7.0% | 95 | 14 | $2K |
| D0330 | Panoramic radiographic image | 6.1% | 48 | 47 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 42 | 12 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 198 | 172 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 13 | 13 | $721.68 |
| D1206 | Topical application of fluoride varnish | 2.0% | 15 | 15 | $598.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 20 | 20 | $257.25 |
1 more codes
| D9920 | 0% | 22 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCAZZALY, DIANA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Vegas Pediatric Partners | Las Vegas, NV | $301K |
| Vegas Pediatric Partners | Las Vegas, NV | $126K |
| Rainbow Dental Partners LLC | Las Vegas, NV | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.