HARMON AND OTTESON DENTAL DURANGO LLC SOS Verified
5205 S DURANGO DR STE 103, LAS VEGAS, NV 89113
NPI Number
1023738861
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Harmon and Otteson Dental Durango LLC
Entity Number: E23152132022-4
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2022-05-11
Status Changed: 2022-05-11
Name Match: 95%
Registered Agent
Name: Kendra Ebert
Type: Non-Commercial Registered Agent
Address: 8457 S Fox Brook St, Las Vegas, NV, 89139
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Christian Otteson | 2632 Sunday Grace Dr, Henderson, NV | Active |
| Mmember | Dylan Harmon | 2139 E Sunshine, St George, UT | Active |
Total Medicaid Payments
$65,959
-87% vs specialty average
Patients Seen
2,858
Total Claims
2,969
$ Per Patient
$23
Specialty avg: $33
Specialty Rank
#27 of 36
Clinic/Center, Dental providers in Nevada
Peer Average
$498,808
Average total for Clinic/Center, Dental
Claims per Patient
1.0
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2023 | $21,997 | |
| 2024 | $43,962 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 576 | $15,405 | 23.4% | $27 |
| D0274 | Dental X-ray — bitewings (four films) | 422 | $9,866 | 15.0% | $23 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 264 | $9,517 | 14.4% | $36 |
| D0210 | Full set of dental X-rays | 160 | $8,870 | 13.4% | $55 |
| D0220 | Single dental X-ray (of one tooth) | 611 | $8,031 | 12.2% | $13 |
| D1110 | Dental cleaning for adults (prophylaxis) | 220 | $4,700 | 7.1% | $21 |
| D0230 | Additional dental X-ray | 491 | $2,874 | 4.4% | $6 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 81 | $2,536 | 3.8% | $31 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 51 | $1,759 | 2.7% | $34 |
| D1120 | Dental cleaning for children (prophylaxis) | 24 | $1,123 | 1.7% | $47 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 18 | $923 | 1.4% | $51 |
| D0120 | Regular dental checkup and exam | 51 | $355 | 0.5% | $7 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.