ALISSARA NIMSUWAN, DMD
7125 N DURANGO DR, LAS VEGAS, NV 89149
NPI Number
1265882849
Practice location · View on Google Maps
Total Medicaid Payments
$77,771
-81% vs specialty average
Patients Seen
2,693
Total Claims
3,018
$ Per Patient
$29
Specialty avg: $36
Specialty Rank
#110 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.1
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 | $77,771 |
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 |
|---|---|---|---|---|---|
| D1120 | Dental cleaning for children (prophylaxis) | 461 | $18,036 | 23.2% | $39 |
| D0120 | Regular dental checkup and exam | 540 | $13,309 | 17.1% | $25 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 438 | $10,901 | 14.0% | $25 |
| D2150 | Silver (amalgam) filling — two surfaces | 134 | $6,885 | 8.9% | $51 |
| D0274 | Dental X-ray — bitewings (four films) | 323 | $5,256 | 6.8% | $16 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 132 | $5,076 | 6.5% | $38 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 111 | $4,057 | 5.2% | $37 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 174 | $3,642 | 4.7% | $21 |
| D1110 | Dental cleaning for adults (prophylaxis) | 139 | $3,617 | 4.7% | $26 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 24 | $1,300 | 1.7% | $54 |
| D0220 | Single dental X-ray (of one tooth) | 231 | $1,294 | 1.7% | $6 |
| D2140 | Silver (amalgam) filling — one surface | 36 | $1,234 | 1.6% | $34 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 34 | $1,111 | 1.4% | $33 |
| D0272 | Dental X-ray — bitewings (two films) | 95 | $865 | 1.1% | $9 |
| D0230 | Additional dental X-ray | 115 | $749 | 1.0% | $7 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 17 | $275 | 0.4% | $16 |
| D0210 | Full set of dental X-rays | 14 | $164 | 0.2% | $12 |
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.