Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RAINBOW DENTAL PARTNERS LLC

NPI: 1306471826 · LAS VEGAS, NV 89108 · General Practice Dentistry · NPI assigned 03/04/2020

$50K
Total Medicaid Paid
2,302
Total Claims
2,118
Beneficiaries
10
Codes Billed
2023-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAZZALY, DIANA (GENERAL MANAGER OF OPORATIONS)
NPI Enumeration Date03/04/2020

Related Entities

Other providers sharing the same authorized official: CAZZALY, DIANA

ProviderCityStateTotal Paid
VEGAS PEDIATRIC PARTNERS LAS VEGAS NV $301K
VEGAS PEDIATRIC PARTNERS LAS VEGAS NV $126K
BONANZA DENTAL PARTNERS LAS VEGAS NV $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,201 $26K
2024 1,101 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 276 270 $13K
D0150 Comprehensive oral evaluation - new or established patient 348 338 $9K
D0274 Bitewings - four radiographic images 356 345 $8K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 103 26 $5K
D0220 Intraoral - periapical first radiographic image 434 421 $5K
D0160 111 109 $3K
D0230 Intraoral - periapical each additional radiographic image 429 369 $2K
D1110 Prophylaxis - adult 77 76 $2K
D0120 Periodic oral evaluation - established patient 155 151 $1K
D1120 Prophylaxis - child 13 13 $509.08