MANUEL NGUYEN PEDIATRIC DENTISTRY SOS Verified
866 SEVEN HILLS DR STE 102, HENDERSON, NV 89052
NPI Number
1407329774
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: MANUEL NGUYEN PEDIATRIC DENTISTRY, PLLC
Entity Number: E0430042018-8
Entity Type: Domestic Professional LLC
Entity Status: Active
Formation Date: 2018-09-10
Name Match: 90%
Registered Agent
Name: First Bite Pediatric Dentistry
Type: Non-Commercial Registered Agent
Address: 866 Seven Hills Drive, Suite 102, Henderson, NV, 89052
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | PETER SON NGUYEN | 866 Seven Hills Drive, Suite 102, Henderson, NV | Active |
Campaign Contributions
$100Total Contributed
1Candidates Supported
Officer / Individual Matches
Peter NguyenPossible Match
Matched via officer: PETER SON NGUYEN (Manager)
$100 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| William McCurdy II | Clark County Commissioner, District D | Democratic Party | $100 | 1 |
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
$856,010
-31% vs specialty average
Patients Seen
26,844
Total Claims
33,117
$ Per Patient
$32
Specialty avg: $40
Specialty Rank
#26 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 |
|---|---|---|
| 2019 | $263 | |
| 2020 | $36,799 | |
| 2021 | $142,358 | |
| 2022 | $176,858 | |
| 2023 | $199,170 | |
| 2024 | $300,561 |
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) | 5,262 | $231,929 | 27.1% | $44 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 5,301 | $183,178 | 21.4% | $35 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 3,728 | $84,508 | 9.9% | $23 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 2,450 | $79,037 | 9.2% | $32 |
| D0272 | Dental X-ray — bitewings (two films) | 3,140 | $53,761 | 6.3% | $17 |
| D0120 | Regular dental checkup and exam | 1,799 | $43,503 | 5.1% | $24 |
| D0230 | Additional dental X-ray | 3,635 | $20,785 | 2.4% | $6 |
| D0220 | Single dental X-ray (of one tooth) | 1,577 | $18,344 | 2.1% | $12 |
| D9248 | Other dental service | 200 | $17,737 | 2.1% | $89 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 287 | $15,176 | 1.8% | $53 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 431 | $15,063 | 1.8% | $35 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 180 | $12,439 | 1.5% | $69 |
| D0274 | Dental X-ray — bitewings (four films) | 549 | $12,293 | 1.4% | $22 |
| D1354 | Interim caries arresting treatment — applying medicine to stop a cavity from growing | 956 | $11,511 | 1.3% | $12 |
| D0145 | Oral evaluation for a patient under 3 years old | 532 | $10,804 | 1.3% | $20 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 251 | $9,954 | 1.2% | $40 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 283 | $9,277 | 1.1% | $33 |
| D0603 | Dental exam, X-ray, or screening | 1,714 | $8,521 | 1.0% | $5 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 427 | $7,799 | 0.9% | $18 |
| D0999 | Dental exam, X-ray, or screening | 167 | $5,550 | 0.6% | $33 |
| D9999 | Other dental service | 140 | $2,780 | 0.3% | $20 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 42 | $1,840 | 0.2% | $44 |
| D0602 | Dental exam, X-ray, or screening | 51 | $171 | 0.0% | $3 |
| D0601 | Dental exam, X-ray, or screening | 15 | $50 | 0.0% | $3 |
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.