TENDER DENTAL BOULDER, LLC
5230 BOULDER HWY STE 130, LAS VEGAS, NV 89122
NPI Number
1215467295
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$17,185
-96% vs specialty average
Patients Seen
686
Total Claims
1,206
$ Per Patient
$25
Specialty avg: $36
Specialty Rank
#176 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 | $4,744 | |
| 2019 | $897 | |
| 2022 | $10,438 | |
| 2023 | $1,106 |
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) | 237 | $4,388 | 25.5% | $19 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 195 | $3,299 | 19.2% | $17 |
| D0210 | Full set of dental X-rays | 66 | $2,829 | 16.5% | $43 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 133 | $2,360 | 13.7% | $18 |
| D0220 | Single dental X-ray (of one tooth) | 260 | $1,623 | 9.4% | $6 |
| D9310 | Dental consultation — specialist opinion on a dental problem | 33 | $1,292 | 7.5% | $39 |
| D1120 | Dental cleaning for children (prophylaxis) | 31 | $446 | 2.6% | $14 |
| D2330 | Tooth-colored (resin) filling — one surface, front tooth | 77 | $282 | 1.6% | $4 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 28 | $280 | 1.6% | $10 |
| D0120 | Regular dental checkup and exam | 33 | $150 | 0.9% | $5 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 76 | $144 | 0.8% | $2 |
| D9991 | Other dental service | 18 | $51 | 0.3% | $3 |
| D9420 | Hospital dental care — using the hospital for dental treatment (per hour) | 19 | $41 | 0.2% | $2 |
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.