HENDERSON PEDIATRIC DENTISTRY PC
390 N STEPHANIE ST STE 104, HENDERSON, NV 89014
NPI Number
1326537028
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$2,292,109
+86% vs specialty average
Patients Seen
68,416
Total Claims
105,107
$ Per Patient
$34
Specialty avg: $40
Specialty Rank
#13 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
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 |
|---|---|---|
| 2019 | $171,424 | |
| 2020 | $329,057 | |
| 2021 | $385,912 | |
| 2022 | $422,505 | |
| 2023 | $466,024 | |
| 2024 | $517,186 |
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) | 10,456 | $421,566 | 18.4% | $40 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 11,695 | $373,968 | 16.3% | $32 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 3,431 | $202,612 | 8.8% | $59 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 6,759 | $185,800 | 8.1% | $27 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 7,811 | $149,524 | 6.5% | $19 |
| D0230 | Additional dental X-ray | 25,112 | $130,563 | 5.7% | $5 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 3,542 | $117,939 | 5.1% | $33 |
| D0120 | Regular dental checkup and exam | 4,621 | $110,387 | 4.8% | $24 |
| D9248 | Other dental service | 1,575 | $95,945 | 4.2% | $61 |
| D0272 | Dental X-ray — bitewings (two films) | 3,659 | $58,301 | 2.5% | $16 |
| D0220 | Single dental X-ray (of one tooth) | 5,581 | $58,154 | 2.5% | $10 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 1,823 | $51,839 | 2.3% | $28 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 1,534 | $49,160 | 2.1% | $32 |
| D1110 | Dental cleaning for adults (prophylaxis) | 1,323 | $47,259 | 2.1% | $36 |
| D0274 | Dental X-ray — bitewings (four films) | 2,046 | $40,002 | 1.7% | $20 |
| D9999 | Other dental service | 940 | $37,410 | 1.6% | $40 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 3,174 | $31,860 | 1.4% | $10 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 3,249 | $27,020 | 1.2% | $8 |
| D0210 | Full set of dental X-rays | 597 | $23,255 | 1.0% | $39 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 631 | $19,584 | 0.9% | $31 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 319 | $16,165 | 0.7% | $51 |
| D0999 | Dental exam, X-ray, or screening | 367 | $11,010 | 0.5% | $30 |
| D0145 | Oral evaluation for a patient under 3 years old | 410 | $7,674 | 0.3% | $19 |
| D3120 | Root canal or dental pulp treatment | 388 | $6,797 | 0.3% | $18 |
| D0340 | Dental exam, X-ray, or screening | 216 | $3,396 | 0.1% | $16 |
| D1354 | Interim caries arresting treatment — applying medicine to stop a cavity from growing | 461 | $3,124 | 0.1% | $7 |
| D0603 | Dental exam, X-ray, or screening | 1,003 | $2,340 | 0.1% | $2 |
| D0601 | Dental exam, X-ray, or screening | 637 | $1,867 | 0.1% | $3 |
| D1510 | Space maintainer — device to hold space for a permanent tooth (fixed) | 51 | $1,813 | 0.1% | $36 |
| D0602 | Dental exam, X-ray, or screening | 971 | $1,656 | 0.1% | $2 |
| D9310 | Dental consultation — specialist opinion on a dental problem | 184 | $922 | 0.0% | $5 |
| D2330 | Tooth-colored (resin) filling — one surface, front tooth | 18 | $846 | 0.0% | $47 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 64 | $825 | 0.0% | $13 |
| D0350 | Dental exam, X-ray, or screening | 241 | $574 | 0.0% | $2 |
| D0470 | Dental exam, X-ray, or screening | 63 | $461 | 0.0% | $7 |
| D2920 | Dental filling, crown, or restoration | 13 | $274 | 0.0% | $21 |
| D0190 | Dental exam, X-ray, or screening | 15 | $215 | 0.0% | $14 |
| D8670 | Braces or orthodontic treatment | 127 | $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.