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BOULDER CROSSINGS DENTAL PARTNERS PLLC SOS Verified

Dentist, General Practice · LAS VEGAS, NV

4954 BOULDER HWY, LAS VEGAS, NV 89121

NPI Number
1346831989
Street View of 4954 BOULDER HWY, LAS VEGAS, NV 89121

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: Boulder Crossings Dental Partners PLLC
Entity Number: E9441472020-1
Entity Type: Domestic Professional LLC
Entity Status: Active
Formation Date: 2020-11-18
Status Changed: 2020-11-18
Name Match: 95%
Registered Agent
Name: NORTHWEST REGISTERED AGENT LLC*
Type: Commercial Registered Agent
Address: 732 S 6th ST, STE N, Las Vegas, NV, 89101
Officers / Principals
TitleNameAddressStatus
MmemberWhitney Wright732 S 6th St Ste N, Las Vegas, NVActive
Total Medicaid Payments
$226,387
-46% vs specialty average
Patients Seen
11,404
Total Claims
13,082
$ Per Patient
$20
Specialty avg: $36
Specialty Rank
#54 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
2021$15,770
2022$38,850
2023$53,595
2024$118,171

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
D0330Panoramic dental X-ray (full view of all teeth and jaw)2,151$58,481
25.8%
$27
D0274Dental X-ray — bitewings (four films)2,330$41,974
18.5%
$18
D0220Single dental X-ray (of one tooth)2,811$29,250
12.9%
$10
D0140Limited dental exam — for a specific problem (like a toothache)1,049$25,896
11.4%
$25
D0230Additional dental X-ray3,071$25,756
11.4%
$8
D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth865$21,287
9.4%
$25
D1110Dental cleaning for adults (prophylaxis)386$11,971
5.3%
$31
D1206Fluoride treatment — painted on teeth to prevent cavities173$5,577
2.5%
$32
D2392Tooth-colored (resin) filling — two surfaces, back tooth65$3,196
1.4%
$49
D0120Regular dental checkup and exam94$1,554
0.7%
$17
D7140Tooth extraction — pulling a tooth that has erupted23$861
0.4%
$37
D1120Dental cleaning for children (prophylaxis)14$585
0.3%
$42
D1330Dental preventive care (cleaning, fluoride, sealant)50$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.