BOARD OF REGENTS, NEVADA SYSTEM OF HIGHER EDUCATION
1700 W CHARLESTON BLVD BLDG A, LAS VEGAS, NV 89102
NPI Number
1053414862
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$3,769,334
+200% vs specialty average
Patients Seen
113,885
Total Claims
170,755
$ Per Patient
$33
Specialty avg: $33
Specialty Rank
#1 of 3
Student in an Organized Health Care Education/Training Program providers in Nevada
Peer Average
$1,256,634
Average total for Student in an Organized Health Care Education/Training Program
Claims per Patient
1.5
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 |
|---|---|---|
| 2018 | $103,095 | |
| 2019 | $673,936 | |
| 2020 | $490,834 | |
| 2021 | $661,037 | |
| 2022 | $633,087 | |
| 2023 | $604,715 | |
| 2024 | $602,630 |
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 |
|---|---|---|---|---|---|
| D1120 | Dental cleaning for children (prophylaxis) | 13,688 | $444,305 | 11.8% | $32 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 14,394 | $381,536 | 10.1% | $27 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 11,736 | $368,138 | 9.8% | $31 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 9,614 | $270,800 | 7.2% | $28 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 9,749 | $215,870 | 5.7% | $22 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 12,783 | $215,503 | 5.7% | $17 |
| D3330 | Root canal — molar tooth | 1,044 | $212,293 | 5.6% | $203 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 3,820 | $161,572 | 4.3% | $42 |
| D2950 | Crown buildup — rebuilding a broken tooth so a crown can be placed | 3,095 | $152,880 | 4.1% | $49 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 5,834 | $143,828 | 3.8% | $25 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 4,655 | $131,367 | 3.5% | $28 |
| D0120 | Regular dental checkup and exam | 6,911 | $114,401 | 3.0% | $17 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 4,800 | $112,296 | 3.0% | $23 |
| D0272 | Dental X-ray — bitewings (two films) | 8,028 | $100,776 | 2.7% | $13 |
| D9310 | Dental consultation — specialist opinion on a dental problem | 1,223 | $86,936 | 2.3% | $71 |
| D0274 | Dental X-ray — bitewings (four films) | 5,076 | $84,881 | 2.3% | $17 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 1,649 | $72,992 | 1.9% | $44 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 5,550 | $69,320 | 1.8% | $12 |
| D0220 | Single dental X-ray (of one tooth) | 8,232 | $67,566 | 1.8% | $8 |
| D0230 | Additional dental X-ray | 10,475 | $67,249 | 1.8% | $6 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 9,542 | $62,348 | 1.7% | $7 |
| D0190 | Dental exam, X-ray, or screening | 4,700 | $55,101 | 1.5% | $12 |
| D8080 | Full braces (comprehensive orthodontic treatment, adolescent) | 19 | $25,549 | 0.7% | $1,345 |
| D9248 | Other dental service | 327 | $22,703 | 0.6% | $69 |
| D1110 | Dental cleaning for adults (prophylaxis) | 1,199 | $19,251 | 0.5% | $16 |
| D8660 | Braces or orthodontic treatment | 630 | $17,491 | 0.5% | $28 |
| D0340 | Dental exam, X-ray, or screening | 674 | $14,172 | 0.4% | $21 |
| D9999 | Other dental service | 421 | $13,730 | 0.4% | $33 |
| D1354 | Interim caries arresting treatment — applying medicine to stop a cavity from growing | 1,275 | $10,465 | 0.3% | $8 |
| D0999 | Dental exam, X-ray, or screening | 298 | $9,220 | 0.2% | $31 |
| D0270 | Dental X-ray — bitewing (single film, checks for cavities between teeth) | 1,823 | $8,667 | 0.2% | $5 |
| D0350 | Dental exam, X-ray, or screening | 674 | $6,231 | 0.2% | $9 |
| D0145 | Oral evaluation for a patient under 3 years old | 345 | $6,122 | 0.2% | $18 |
| D3110 | Root canal or dental pulp treatment | 313 | $4,386 | 0.1% | $14 |
| D0383 | Dental exam, X-ray, or screening | 250 | $3,266 | 0.1% | $13 |
| D3220 | Pulp treatment for a baby tooth — removing infection from inside the tooth | 90 | $2,877 | 0.1% | $32 |
| D0210 | Full set of dental X-rays | 95 | $2,503 | 0.1% | $26 |
| D0601 | Dental exam, X-ray, or screening | 453 | $1,935 | 0.1% | $4 |
| D2393 | Tooth-colored (resin) filling — three surfaces, back tooth | 127 | $1,335 | 0.0% | $11 |
| D0602 | Dental exam, X-ray, or screening | 301 | $1,130 | 0.0% | $4 |
| D4910 | Periodontal maintenance — follow-up cleaning after gum disease treatment | 1,998 | $1,078 | 0.0% | $1 |
| D4341 | Deep cleaning (scaling and root planing) — per quadrant, 4+ teeth | 590 | $1,035 | 0.0% | $2 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 69 | $1,035 | 0.0% | $15 |
| D0460 | Dental exam, X-ray, or screening | 561 | $818 | 0.0% | $1 |
| D4342 | Deep cleaning (scaling and root planing) — per quadrant, 1-3 teeth | 587 | $494 | 0.0% | $1 |
| D2331 | Tooth-colored (resin) filling — two surfaces, front tooth | 112 | $379 | 0.0% | $3 |
| D9110 | Emergency dental treatment — palliative (pain relief) | 17 | $347 | 0.0% | $20 |
| D9239 | Other dental service | 12 | $278 | 0.0% | $23 |
| D9243 | Other dental service | 12 | $271 | 0.0% | $23 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 95 | $236 | 0.0% | $2 |
| D2150 | Silver (amalgam) filling — two surfaces | 33 | $195 | 0.0% | $6 |
| D0603 | Dental exam, X-ray, or screening | 160 | $128 | 0.0% | $1 |
| D4346 | Gum disease treatment (periodontics) | 14 | $53 | 0.0% | $4 |
| D1330 | Dental preventive care (cleaning, fluoride, sealant) | 531 | $0 | 0.0% | $0 |
| D2740 | Crown (cap) — porcelain or ceramic | 14 | $0 | 0.0% | $0 |
| D0391 | Dental exam, X-ray, or screening | 38 | $0 | 0.0% | $0 |
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.