ANGELICA JANE BUSTOS THACKER, DMD
7603 GRAND TETON DR STE 140, LAS VEGAS, NV 89131
NPI Number
1073251963
Practice location · View on Google Maps
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 |
|---|---|---|
| 2022 | $0 |
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 |
|---|---|---|---|---|---|
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 13 | $0 | 0.0% | $0 |
| D0210 | Full set of dental X-rays | 23 | $0 | 0.0% | $0 |
| D1110 | Dental cleaning for adults (prophylaxis) | 13 | $0 | 0.0% | $0 |
| D0220 | Single dental X-ray (of one tooth) | 16 | $0 | 0.0% | $0 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 21 | $0 | 0.0% | $0 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 14 | $0 | 0.0% | $0 |