MONICA PONCE, DDS
9450 W RUSSELL RD STE 102, LAS VEGAS, NV 89148
NPI Number
1174598882
Practice location · View on Google Maps
Total Medicaid Payments
$22,665
-95% vs specialty average
Patients Seen
930
Total Claims
1,683
$ Per Patient
$24
Specialty avg: $36
Specialty Rank
#162 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.8
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 | $21,444 | |
| 2019 | $1,221 |
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 |
|---|---|---|---|---|---|
| D0210 | Full set of dental X-rays | 313 | $10,500 | 46.3% | $34 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 342 | $4,654 | 20.5% | $14 |
| D1120 | Dental cleaning for children (prophylaxis) | 85 | $2,041 | 9.0% | $24 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 98 | $2,015 | 8.9% | $21 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 94 | $1,466 | 6.5% | $16 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 63 | $1,249 | 5.5% | $20 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 135 | $412 | 1.8% | $3 |
| D0220 | Single dental X-ray (of one tooth) | 123 | $308 | 1.4% | $3 |
| D5899 | Dentures or removable dental prosthetics | 19 | $20 | 0.1% | $1 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 185 | $0 | 0.0% | $0 |
| D2150 | Silver (amalgam) filling — two surfaces | 156 | $0 | 0.0% | $0 |
| D9420 | Hospital dental care — using the hospital for dental treatment (per hour) | 26 | $0 | 0.0% | $0 |
| D4355 | Gum disease treatment (periodontics) | 44 | $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.