AMERICAN DENTAL SOS Verified
150 S HIGHWAY 160 STE C11, PAHRUMP, NV 89048
NPI Number
1528203460
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: AMERICAN DENTAL FOUNDATION
Entity Number: E0260182014-4
Entity Type: Domestic Nonprofit Corporation
Entity Status: Active
Formation Date: 2014-05-12
Status Changed: 2015-07-16
Name Match: 90%
Registered Agent
Name: LAW OFFICE OF LOREN A. PIEL LTD
Type: Commercial Registered Agent
Address: 7473 W LAKE MEAD BLVD STE 100, LAS VEGAS, NV, 89128
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | JASON DAVID MARTINZ - TRUSTEE | C/O Ben Litvinoff - Pure Image, 3655 S. Durango Dr. Ste 24, Las Vegas, NV | Active |
| Treasurer | BEN LITVINOFF - TRUSTEE | C/O Ben Litvinoff - Pure Image, 3655 S. Durango Dr. Ste 24, Las Vegas, NV | Active |
| Secretary | MELINDA HERNANDEZ - TRUSTEE | C/O Ben Litvinoff - Pure Image 3655 S. Durango Dr., Ste 24, Las Vegas, NV | Active |
Total Medicaid Payments
$643,702
+53% vs specialty average
Patients Seen
19,916
Total Claims
29,325
$ Per Patient
$32
Specialty avg: $36
Specialty Rank
#19 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
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 |
|---|---|---|
| 2018 | $183,626 | |
| 2019 | $119,909 | |
| 2020 | $65,597 | |
| 2021 | $67,929 | |
| 2022 | $68,312 | |
| 2023 | $64,095 | |
| 2024 | $74,234 |
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 |
|---|---|---|---|---|---|
| D7140 | Tooth extraction — pulling a tooth that has erupted | 2,593 | $104,086 | 16.2% | $40 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 3,325 | $100,459 | 15.6% | $30 |
| D1120 | Dental cleaning for children (prophylaxis) | 1,414 | $68,062 | 10.6% | $48 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 754 | $57,582 | 8.9% | $76 |
| D0220 | Single dental X-ray (of one tooth) | 3,957 | $53,653 | 8.3% | $14 |
| D0230 | Additional dental X-ray | 8,444 | $52,283 | 8.1% | $6 |
| D0274 | Dental X-ray — bitewings (four films) | 2,125 | $44,001 | 6.8% | $21 |
| D0210 | Full set of dental X-rays | 727 | $33,444 | 5.2% | $46 |
| D0120 | Regular dental checkup and exam | 1,339 | $32,244 | 5.0% | $24 |
| D2150 | Silver (amalgam) filling — two surfaces | 309 | $24,952 | 3.9% | $81 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 2,089 | $19,335 | 3.0% | $9 |
| D1110 | Dental cleaning for adults (prophylaxis) | 335 | $14,469 | 2.2% | $43 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 773 | $13,836 | 2.1% | $18 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 647 | $10,999 | 1.7% | $17 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 357 | $7,440 | 1.2% | $21 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 105 | $5,191 | 0.8% | $49 |
| D2140 | Silver (amalgam) filling — one surface | 20 | $1,297 | 0.2% | $65 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 12 | $371 | 0.1% | $31 |
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.