JACK NGUYEN, DDS, PLLC SOS Verified
2654 W HORIZON RIDGE PKWY STE B5-346, HENDERSON, NV 89052
NPI Number
1285111617
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: JACK NGUYEN, DDS, PLLC
Entity Number: E0288932018-1
Entity Type: Domestic Professional LLC
Entity Status: Active
Formation Date: 2018-06-13
Name Match: 95%
Registered Agent
Name: Jack Nguyen
Type: Non-Commercial Registered Agent
Address: 2654 W Horizon Ridge Pkwy Suite B5-346, Henderson, NV, 89052
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Other | JACK NGUYEN | 2654 W HORIZON RIDGE PKWY STE B5-346, Henderson, NV | Active |
Campaign Contributions
$28,938Total Contributed
8Candidates Supported
Officer / Individual Matches
NGUYEN, JACQUELINE JDPossible Match
Matched via officer: JACK NGUYEN (Other)
$7,072 across 34 contributions
NGUYEN, JACQUELINEPossible Match
Matched via officer: JACK NGUYEN (Other)
$8,800 across 12 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| CORTEZ MASTO, CATHERINE | U.S. Senate | DEM | $40,000 | 40 |
| MASTO, CATHERINE CORTEZ | U.S. Senate | DEM | $20,000 | 20 |
NGUYEN, JACQUELINE L.Possible Match
Matched via officer: JACK NGUYEN (Other)
$3,300 across 1 contribution
Jacqueline & Michael NguyenPossible Match
Matched via officer: JACK NGUYEN (Other)
$2,000 across 2 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Joe Hardy | Mayor, Boulder City | Republican Party | $2,000 | 2 |
Jacqueline NguyenPossible Match
Matched via officer: JACK NGUYEN (Other)
$4,250 across 5 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Ashley Delobel | State Assembly, District 29 | Democratic Party | $2,000 | 2 |
| Rebecca Edgeworth | State Assembly, District 35 | Republican Party | $2,000 | 2 |
| Ryan Hampton | Office Not Specified | Democratic Party | $250 | 1 |
Jacqueline NguyenPossible Match
Matched via officer: JACK NGUYEN (Other)
$2,500 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Shelley Berkley | City of Las Vegas, Mayor | Nonpartisan | $2,500 | 1 |
NGUYEN, JACQUELINE MS. JDPossible Match
Matched via officer: JACK NGUYEN (Other)
$416 across 2 contributions
Jacqueline NguyenPossible Match
Matched via officer: JACK NGUYEN (Other)
$600 across 2 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Max Berkley | Justice of the Peace, Las Vegas Township, Department 7 | Nonpartisan | $600 | 2 |
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.
Total Medicaid Payments
$110,536
-69% vs specialty average
Patients Seen
4,380
Total Claims
6,746
$ Per Patient
$25
Specialty avg: $34
Specialty Rank
#74 of 180
Dentist providers in Nevada
Peer Average
$355,999
Average total for Dentist
Claims per Patient
1.5
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 |
|---|---|---|
| 2020 | $24,449 | |
| 2021 | $55,313 | |
| 2022 | $29,463 | |
| 2023 | $1,310 |
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 | 981 | $27,515 | 24.9% | $28 |
| D1120 | Dental cleaning for children (prophylaxis) | 608 | $22,825 | 20.6% | $38 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 482 | $13,828 | 12.5% | $29 |
| D0230 | Additional dental X-ray | 2,249 | $11,786 | 10.7% | $5 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 320 | $7,212 | 6.5% | $23 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 206 | $5,763 | 5.2% | $28 |
| D0120 | Regular dental checkup and exam | 243 | $5,561 | 5.0% | $23 |
| D0274 | Dental X-ray — bitewings (four films) | 271 | $5,327 | 4.8% | $20 |
| D0220 | Single dental X-ray (of one tooth) | 359 | $3,282 | 3.0% | $9 |
| D9995 | Other dental service | 337 | $3,040 | 2.8% | $9 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 86 | $1,328 | 1.2% | $15 |
| D9999 | Other dental service | 43 | $860 | 0.8% | $20 |
| D9993 | Other dental service | 215 | $750 | 0.7% | $3 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 41 | $609 | 0.6% | $15 |
| D0999 | Dental exam, X-ray, or screening | 14 | $420 | 0.4% | $30 |
| D0602 | Dental exam, X-ray, or screening | 38 | $175 | 0.2% | $5 |
| D0603 | Dental exam, X-ray, or screening | 225 | $145 | 0.1% | $1 |
| D0601 | Dental exam, X-ray, or screening | 28 | $110 | 0.1% | $4 |
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.