Dental
Gary D Richardson DDS, PC
Gary D Richardson DDS, PC was paid $100K by Medicaid between May 2021 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoGARY D RICHARDSON DDS, PC
LAS VEGAS, NV 89147
LAS VEGAS, NV 89147
33aNPI1164974671assigned 11/01/2016
33bProvider typePediatric Dentist
28Total paid$100K
24GClaims3,406
24DCodes billed20
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nevada
Rank by total paid#57 of 85
Median peer was paid$244K
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 | |
|---|---|---|---|
| 2021 | 182 | $4K | |
| 2022 | 53 | $2K | |
| 2023 | 95 | $3K | |
| 2024incomplete | 3,076 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 463 | 438 | $19K |
| D1206 | Topical application of fluoride varnish | 18% | 523 | 496 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 575 | 545 | $14K |
| D1351 | Sealant - per tooth | 12% | 545 | 108 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 170 | 84 | $8K |
| D9248 | 5.9% | 65 | 61 | $6K | |
| D1110 | Prophylaxis - adult | 3.9% | 89 | 89 | $4K |
| D0272 | Bitewings - two radiographic images | 3.8% | 219 | 214 | $4K |
| D0330 | Panoramic radiographic image | 3.7% | 101 | 99 | $4K |
| D0274 | Bitewings - four radiographic images | 2.8% | 124 | 124 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 71 | 41 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 48 | 47 | $2K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 34 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 141 | $1K |
| D0240 | <1% | 51 | $727.65 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 61 | $632.70 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 47 | $482.82 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 42 | $358.40 |
| D1999 | 0% | 19 | $0.00 | |
| D0350 | 0% | 18 | $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 officialREZAPOUR, NOURA (OWNER DENTIST)