Dental
Radiant Smiles Series 5 LLC
Radiant Smiles Series 5 LLC was paid $176K by Medicaid between Sep 2018 and Dec 2024, across 12 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 15% of everything it billed.
33Billing provider infoRADIANT SMILES SERIES 5 LLC
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
33aNPI1568778645assigned 08/26/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$176K
24GClaims8,806
24DCodes billed12
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Nevada
Rank by total paid#69 of 247
Median peer was paid$54K
This provider vs. median3.3×
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 | 56 | $956.62 | |
| 2019 | 166 | $5K | |
| 2020 | 900 | $29K | |
| 2021 | 1,118 | $31K | |
| 2022 | 1,303 | $24K | |
| 2023 | 2,655 | $34K | |
| 2024incomplete | 2,608 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 15% | 1,321 | 1,159 | $26K |
| D0140 | Limited oral evaluation - problem focused | 13% | 738 | 692 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 2,131 | 1,851 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 397 | 393 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 1,701 | 1,227 | $18K |
| D0330 | Panoramic radiographic image | 8.5% | 490 | 426 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 798 | 724 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.9% | 258 | 246 | $10K |
| D1206 | Topical application of fluoride varnish | 5.8% | 337 | 319 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 405 | 376 | $10K |
| D1351 | Sealant - per tooth | 2.3% | 175 | 27 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.1% | 55 | 26 | $4K |
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 officialGONZALEZ, DAVID (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Town of Cicero | Cicero, IL | $17.94M |
| City of Chicago Heights | Chicago Heights, IL | $14.01M |
| Laredo Autistic and Kids Rehabilitation Center LLC | Laredo, TX | $5.73M |
| Doctores Asociados Del Noroeste, INC | Moca, PR | $386K |
| Integrated Medical Group | Pottsville, PA | $269K |
| Integrated Medical Group | Pottsville, PA | $242K |
| Radiant Smiles Series 2 LLC | Las Vegas, NV | $181K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.