Dental
Brilliant Smile Dental, P.C.
Brilliant Smile Dental, P.C. was paid $130K by Medicaid between Jan 2018 and Dec 2021, across 14 billing codes. Its largest line is D2394, — 24% of everything it billed.
33Billing provider infoBRILLIANT SMILE DENTAL, P.C.
PORTLAND, OR 97233
PORTLAND, OR 97233
33aNPI1215209861assigned 01/28/2012
33bProvider typeDentist
28Total paid$130K
24GClaims4,919
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#60 of 233
Median peer was paid$19K
This provider vs. median7.0×
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 | 1,228 | $38K | |
| 2019 | 1,629 | $45K | |
| 2020 | 1,321 | $28K | |
| 2021 | 741 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2394 | 24% | 346 | 166 | $31K | |
| D1110 | Prophylaxis - adult | 13% | 383 | 369 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 757 | 723 | $15K |
| D0140 | Limited oral evaluation - problem focused | 12% | 452 | 390 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 685 | 659 | $11K |
| D4910 | 8.3% | 188 | 179 | $11K | |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 762 | 618 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 718 | 298 | $6K |
| D0274 | Bitewings - four radiographic images | 3.9% | 206 | 198 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 79 | 37 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.6% | 44 | 25 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 26 | 13 | $2K |
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 officialLUONG, NICOLE (PRESIDENT)