BOSTON DENTAL AT ANTHEM LLC SOS Verified
2870 BICENTENNIAL PKWY STE 120, HENDERSON, NV 89044
NPI Number
1245668870
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: BOSTON DENTAL AT ANTHEM LLC
Entity Number: E0194742013-0
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2013-04-18
Name Match: 95%
Registered Agent
Name: DAVID T. TING
Type: Commercial Registered Agent
Address: 6960 WESTCLIFF DR STE 200, LAS VEGAS, NV, 89145
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | DAVID TING | 2101 S JONES BLVD STE 100, LAS VEGAS, NV, 89146 | Active |
Campaign Contributions
$2,000Total Contributed
Officer / Individual Matches
TING, DAVIDProbable Match
Matched via officer: DAVID TING (Manager)
$2,000 across 2 contributions
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
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 |
|---|---|---|
| 2020 | $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 |
|---|---|---|---|---|---|
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 17 | $0 | 0.0% | $0 |