NEVADA DENTAL TEAM PLLC SOS Verified
4275 BURNHAM AVE STE 101, LAS VEGAS, NV 89119
NPI Number
1528646569
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Nevada Dental Team, PLLC
Entity Number: E13453842021-3
Entity Type: Domestic Professional LLC
Entity Status: Active
Formation Date: 2021-03-30
Status Changed: 2021-03-30
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | William Waggoner | 9709 Lakeside Blvd, Suite 350, Spring, TX | Active |
Total Medicaid Payments
$204,807
-42% vs specialty average
Patients Seen
3,515
Total Claims
5,206
$ Per Patient
$58
Specialty avg: $34
Specialty Rank
#54 of 180
Dentist providers in Nevada
Peer Average
$355,999
Average total for Dentist
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 |
|---|---|---|
| 2022 | $1,169 | |
| 2023 | $22,781 | |
| 2024 | $180,858 |
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 |
|---|---|---|---|---|---|
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 944 | $87,607 | 42.8% | $93 |
| D2929 | Dental filling, crown, or restoration | 223 | $28,800 | 14.1% | $129 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 809 | $25,702 | 12.5% | $32 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 331 | $15,293 | 7.5% | $46 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 450 | $13,680 | 6.7% | $30 |
| D3220 | Pulp treatment for a baby tooth — removing infection from inside the tooth | 197 | $12,593 | 6.1% | $64 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 127 | $5,540 | 2.7% | $44 |
| D0272 | Dental X-ray — bitewings (two films) | 324 | $3,908 | 1.9% | $12 |
| D0230 | Additional dental X-ray | 624 | $3,157 | 1.5% | $5 |
| D0603 | Dental exam, X-ray, or screening | 792 | $3,019 | 1.5% | $4 |
| D9310 | Dental consultation — specialist opinion on a dental problem | 28 | $1,808 | 0.9% | $65 |
| D0220 | Single dental X-ray (of one tooth) | 160 | $1,052 | 0.5% | $7 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 78 | $954 | 0.5% | $12 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 57 | $713 | 0.3% | $13 |
| D1120 | Dental cleaning for children (prophylaxis) | 31 | $516 | 0.3% | $17 |
| D9610 | Other dental service | 19 | $384 | 0.2% | $20 |
| D9420 | Hospital dental care — using the hospital for dental treatment (per hour) | 12 | $82 | 0.0% | $7 |
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.