THOMAS GODFREY, DMD
1580 E DESERT INN RD, LAS VEGAS, NV 89169
NPI Number
1063844710
Practice location · View on Google Maps
Total Medicaid Payments
$42,409
-90% vs specialty average
Patients Seen
2,605
Total Claims
4,392
$ Per Patient
$16
Specialty avg: $36
Specialty Rank
#140 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.7
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 | $42,409 |
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 |
|---|---|---|---|---|---|
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 242 | $6,816 | 16.1% | $28 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 177 | $5,152 | 12.1% | $29 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 356 | $4,949 | 11.7% | $14 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 728 | $3,872 | 9.1% | $5 |
| D1120 | Dental cleaning for children (prophylaxis) | 243 | $3,330 | 7.9% | $14 |
| D2150 | Silver (amalgam) filling — two surfaces | 274 | $2,665 | 6.3% | $10 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 244 | $2,555 | 6.0% | $10 |
| D0230 | Additional dental X-ray | 578 | $2,474 | 5.8% | $4 |
| D7311 | Tooth extraction or oral surgery | 75 | $1,920 | 4.5% | $26 |
| D0272 | Dental X-ray — bitewings (two films) | 144 | $1,800 | 4.2% | $12 |
| D0220 | Single dental X-ray (of one tooth) | 160 | $1,484 | 3.5% | $9 |
| D0210 | Full set of dental X-rays | 233 | $1,297 | 3.1% | $6 |
| D2140 | Silver (amalgam) filling — one surface | 393 | $1,173 | 2.8% | $3 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 191 | $1,130 | 2.7% | $6 |
| D4355 | Gum disease treatment (periodontics) | 41 | $1,015 | 2.4% | $25 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 87 | $778 | 1.8% | $9 |
| D0120 | Regular dental checkup and exam | 76 | $0 | 0.0% | $0 |
| D2160 | Silver (amalgam) filling — three surfaces | 31 | $0 | 0.0% | $0 |
| D9110 | Emergency dental treatment — palliative (pain relief) | 13 | $0 | 0.0% | $0 |
| D1110 | Dental cleaning for adults (prophylaxis) | 59 | $0 | 0.0% | $0 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 47 | $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.