ABRAZA DENTAL GROUP LLC SOS Verified
5642 S EASTERN AVE SUITE B, LAS VEGAS, NV 89119
NPI Number
1073963757
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: ABRAZA DENTAL GROUP LLC
Entity Number: E0586012015-9
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2015-12-17
Name Match: 95%
Registered Agent
Name: WYATT S DANNELS, MANAGER
Type: Non-Commercial Registered Agent
Address: 612 W CHERVIL VALLEY DR, LAS VEGAS, NV, 89138
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Other | WYATT DANNELS | 12653 Penfield Ave, Las Vegas, NV | Active |
| Other | Youssef Salloum | 353 E Bonneville Ave, Suite 713, Las Vegas, NV | Active |
Total Medicaid Payments
$491,622
+38% vs specialty average
Patients Seen
18,363
Total Claims
21,838
$ Per Patient
$27
Specialty avg: $34
Specialty Rank
#35 of 180
Dentist providers in Nevada
Peer Average
$355,999
Average total for Dentist
Claims per Patient
1.2
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 | $3,104 | |
| 2019 | $71,824 | |
| 2020 | $94,199 | |
| 2021 | $83,344 | |
| 2022 | $111,048 | |
| 2023 | $63,062 | |
| 2024 | $65,042 |
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 | 1,968 | $95,476 | 19.4% | $49 |
| D0274 | Dental X-ray — bitewings (four films) | 2,465 | $54,826 | 11.2% | $22 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 1,478 | $51,413 | 10.5% | $35 |
| D0220 | Single dental X-ray (of one tooth) | 4,060 | $50,474 | 10.3% | $12 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 1,675 | $44,765 | 9.1% | $27 |
| D0210 | Full set of dental X-rays | 883 | $44,574 | 9.1% | $50 |
| D0160 | Dental exam, X-ray, or screening | 1,807 | $35,769 | 7.3% | $20 |
| D1120 | Dental cleaning for children (prophylaxis) | 654 | $27,713 | 5.6% | $42 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 865 | $22,620 | 4.6% | $26 |
| D0230 | Additional dental X-ray | 3,866 | $22,039 | 4.5% | $6 |
| D0120 | Regular dental checkup and exam | 792 | $11,979 | 2.4% | $15 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 302 | $10,395 | 2.1% | $34 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 359 | $6,906 | 1.4% | $19 |
| D1110 | Dental cleaning for adults (prophylaxis) | 198 | $4,290 | 0.9% | $22 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 54 | $2,601 | 0.5% | $48 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 186 | $1,730 | 0.4% | $9 |
| D0272 | Dental X-ray — bitewings (two films) | 55 | $987 | 0.2% | $18 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 63 | $977 | 0.2% | $16 |
| D0999 | Dental exam, X-ray, or screening | 29 | $870 | 0.2% | $30 |
| D3120 | Root canal or dental pulp treatment | 47 | $756 | 0.2% | $16 |
| D9999 | Other dental service | 17 | $340 | 0.1% | $20 |
| D9310 | Dental consultation — specialist opinion on a dental problem | 15 | $123 | 0.0% | $8 |
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.