Dental
Heavenly Smiles Mobile Dental
Heavenly Smiles Mobile Dental was paid $42K by Medicaid between Jul 2021 and Apr 2024, across 10 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 42% of everything it billed.
33Billing provider infoHEAVENLY SMILES MOBILE DENTAL
LAS VEGAS, NV 89130
LAS VEGAS, NV 89130
33aNPI1336755362assigned 09/16/2020
33bProvider typeDental Hygienist
28Total paid$42K
24GClaims2,765
24DCodes billed10
24AFirst – last monthJul 2021 – Apr 2024
Compared with peers
Next to other Dental Hygienist providers in Nevada
Rank by total paid#4 of 12
Median peer was paid$17K
This provider vs. median2.4×
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 | 248 | $5K | |
| 2022 | 1,940 | $25K | |
| 2023 | 309 | $5K | |
| 2024incomplete | 268 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 42% | 713 | 699 | $17K |
| D0190 | 26% | 751 | 738 | $11K | |
| D1351 | Sealant - per tooth | 13% | 239 | 29 | $5K |
| D9999 | Unspecified adjunctive procedure, by report | 8.1% | 91 | 91 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.5% | 62 | 62 | $3K |
| D0601 | 2.8% | 287 | 281 | $1K | |
| D0603 | 1.5% | 126 | 125 | $620.00 | |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 12 | 12 | $360.00 |
| D0602 | <1% | 12 | 12 | $50.00 | |
| D1330 | 0% | 472 | 464 | $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 officialCROSSWHITE, JANET (MANAGER)