CAVITYBUSTERS
6910 S RAINBOW BLVD #104, LAS VEGAS, NV 89118
NPI Number
1538314372
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$2,099
-100% vs specialty average
Patients Seen
136
Total Claims
162
$ Per Patient
$15
Specialty avg: $40
Specialty Rank
#93 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 |
|---|---|---|
| 2018 | $2,099 |
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) | 37 | $1,178 | 56.1% | $32 |
| D0120 | Regular dental checkup and exam | 14 | $266 | 12.7% | $19 |
| D0220 | Single dental X-ray (of one tooth) | 51 | $191 | 9.1% | $4 |
| D0272 | Dental X-ray — bitewings (two films) | 12 | $183 | 8.7% | $15 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 20 | $174 | 8.3% | $9 |
| D0230 | Additional dental X-ray | 28 | $106 | 5.1% | $4 |
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.