WAGGONER PROFESSIONAL SERVICES PC SOS Verified
9575 W TROPICANA AVE STE 5, LAS VEGAS, NV 89147
NPI Number
1295259760
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: WAGGONER PROFESSIONAL SERVICES PC
Entity Number: E0153682017-7
Entity Type: Domestic Professional Corporation
Entity Status: Active
Formation Date: 2017-03-30
Name Match: 95%
Registered Agent
Name: WILLIAM F. WAGGONER, D.D.S., M.S.
Type: Non-Commercial Registered Agent
Address: 4811 HAYRIDE STREET, LAS VEGAS, NV, 89149
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | WILLIAM WAGGONER | 4811 HAYRIDE ST, LAS VEGAS, NV, 89149 | Active |
| Secretary | WILLIAM WAGGONER | 4811 HAYRIDE ST, LAS VEGAS, NV, 89149 | Active |
| Treasurer | WILLIAM WAGGONER | 4811 HAYRIDE ST, LAS VEGAS, NV, 89149 | Active |
| Director | WILLIAM WAGGONER | 4811 HAYRIDE ST, LAS VEGAS, NV, 89149 | Active |
Total Medicaid Payments
$1,049,980
-15% vs specialty average
Patients Seen
33,898
Total Claims
41,523
$ Per Patient
$31
Specialty avg: $40
Specialty Rank
#22 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
Claims per Patient
1.2
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 | $7,516 | |
| 2019 | $76,553 | |
| 2020 | $256,196 | |
| 2021 | $327,369 | |
| 2022 | $217,535 | |
| 2023 | $140,960 | |
| 2024 | $23,851 |
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) | 4,899 | $205,630 | 19.6% | $42 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 4,947 | $159,565 | 15.2% | $32 |
| D9248 | Other dental service | 1,398 | $116,433 | 11.1% | $83 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 4,506 | $98,278 | 9.4% | $22 |
| D0120 | Regular dental checkup and exam | 3,711 | $90,620 | 8.6% | $24 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 1,581 | $77,212 | 7.4% | $49 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 769 | $49,470 | 4.7% | $64 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 1,250 | $46,961 | 4.5% | $38 |
| D0272 | Dental X-ray — bitewings (two films) | 2,401 | $38,065 | 3.6% | $16 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 830 | $30,672 | 2.9% | $37 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 1,009 | $30,208 | 2.9% | $30 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 2,927 | $27,789 | 2.6% | $9 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 641 | $22,709 | 2.2% | $35 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 937 | $16,283 | 1.6% | $17 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 363 | $11,114 | 1.1% | $31 |
| D0999 | Dental exam, X-ray, or screening | 236 | $7,080 | 0.7% | $30 |
| D9999 | Other dental service | 259 | $5,870 | 0.6% | $23 |
| D0220 | Single dental X-ray (of one tooth) | 552 | $5,174 | 0.5% | $9 |
| D0274 | Dental X-ray — bitewings (four films) | 217 | $5,170 | 0.5% | $24 |
| D0603 | Dental exam, X-ray, or screening | 1,376 | $2,302 | 0.2% | $2 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 166 | $1,984 | 0.2% | $12 |
| D0602 | Dental exam, X-ray, or screening | 598 | $470 | 0.0% | $1 |
| D3120 | Root canal or dental pulp treatment | 29 | $435 | 0.0% | $15 |
| D0230 | Additional dental X-ray | 62 | $348 | 0.0% | $6 |
| D0601 | Dental exam, X-ray, or screening | 154 | $135 | 0.0% | $1 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 5,705 | $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.