WOODSTOCK TOM, DMD
4318 S EASTERN AVE, LAS VEGAS, NV 89119
NPI Number
1164819108
Practice location · View on Google Maps
Total Medicaid Payments
$5,872
-99% vs specialty average
Patients Seen
256
Total Claims
319
$ Per Patient
$23
Specialty avg: $36
Specialty Rank
#204 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
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 | $5,872 |
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 |
|---|---|---|---|---|---|
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 35 | $1,487 | 25.3% | $42 |
| D1120 | Dental cleaning for children (prophylaxis) | 31 | $1,392 | 23.7% | $45 |
| D0274 | Dental X-ray — bitewings (four films) | 41 | $896 | 15.3% | $22 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 24 | $698 | 11.9% | $29 |
| D0220 | Single dental X-ray (of one tooth) | 64 | $608 | 10.4% | $9 |
| D0230 | Additional dental X-ray | 88 | $442 | 7.5% | $5 |
| D0120 | Regular dental checkup and exam | 36 | $349 | 6.0% | $10 |
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.