Tender Dental Bonanaza, LLC

Tender Dental Bonanaza, LLC was paid $108K by Medicaid between Jan 2018 and Apr 2022, across 20 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 33% of everything it billed.

33Billing provider infoTENDER DENTAL BONANAZA, LLC
LAS VEGAS, NV 89110

33aNPI1124556741assigned 05/25/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$108K

24GClaims5,725

24DCodes billed20

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other General Practice Dentistry providers in Nevada

Rank by total paid#93 of 247

Median peer was paid$54K

This provider vs. median2.0×

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
2018	3,109	$43K
2019	308	$6K
2020	52	$776.08
2021	2,224	$58K
2022	32	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	33%	897	297	$35K
D0140	Limited oral evaluation - problem focused	27%	1,323	1,018	$29K
D0330	Panoramic radiographic image	9.7%	725	513	$10K
D0210	Intraoral - complete series of radiographic images	8.4%	429	270	$9K
D0220	Intraoral - periapical first radiographic image	6.6%	756	640	$7K
D1120	Dental cleaning, childProphylaxis - child	2.6%	197	126	$3K
D2150	Silver amalgam - two surfaces, primary or permanent	1.8%	165	29	$2K
D0150	Comprehensive oral evaluation - new or established patient	1.8%	195	117	$2K
D1206	Topical application of fluoride varnish	1.8%	166	110	$2K
D0230	Intraoral - periapical each additional radiographic image	1.7%	330	237	$2K
D7230		1.4%	28	13	$1K
D4355		1.3%	50	29	$1K

8 more codes

D7140	Extraction, erupted tooth or exposed root	<1%	119	$738.00
D9994		<1%	70	$574.00
D9993		<1%	71	$574.00
D0274	Bitewings - four radiographic images	<1%	25	$494.97
D9310		<1%	20	$430.50
D5899		<1%	80	$369.00
D0120	Dental checkup, returning patient	<1%	13	$284.44
D9420		<1%	66	$245.94

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 officialUM, JONG (PRESIDENT)

Parent organizationTENDER DENTAL MANAGEMENT, LLC

Same official

Other billing entities under UM, JONG

Full network →

Provider	Location	Paid
Tender Dental Management, LLC	Las Vegas, NV	$19K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.