HARMON AND OTTESON DENTAL BONANZA LLC SOS Verified
2337 E BONANZA RD STE 3, LAS VEGAS, NV 89101
NPI Number
1508551706
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Harmon and Otteson Dental Bonanza LLC
Entity Number: E30216612023-3
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2023-03-13
Status Changed: 2023-03-13
Name Match: 95%
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Christian Otteson | 2632 Sunday Grace Dr, Henderson, NV | Active |
| Mmember | Dylan Harmon | 2139 E Sunshine, St George, UT | Active |
Total Medicaid Payments
$46,247
-91% vs specialty average
Patients Seen
1,583
Total Claims
1,717
$ Per Patient
$29
Specialty avg: $33
Specialty Rank
#28 of 36
Clinic/Center, Dental providers in Nevada
Peer Average
$498,808
Average total for Clinic/Center, Dental
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 |
|---|---|---|
| 2023 | $11,653 | |
| 2024 | $34,594 |
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 |
|---|---|---|---|---|---|
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 405 | $10,287 | 22.2% | $25 |
| D0210 | Full set of dental X-rays | 181 | $9,856 | 21.3% | $54 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 118 | $6,219 | 13.4% | $53 |
| D0274 | Dental X-ray — bitewings (four films) | 215 | $4,409 | 9.5% | $21 |
| D0220 | Single dental X-ray (of one tooth) | 300 | $3,561 | 7.7% | $12 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 85 | $2,885 | 6.2% | $34 |
| D1120 | Dental cleaning for children (prophylaxis) | 63 | $2,870 | 6.2% | $46 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 81 | $2,769 | 6.0% | $34 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 65 | $2,237 | 4.8% | $34 |
| D0230 | Additional dental X-ray | 204 | $1,153 | 2.5% | $6 |
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.