TRI STATE DENTAL
450 E SILVERADO RANCH BLVD STE 105, LAS VEGAS, NV 89183
NPI Number
1578153276
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$209,454
-50% vs specialty average
Patients Seen
8,051
Total Claims
8,706
$ Per Patient
$26
Specialty avg: $36
Specialty Rank
#57 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
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 |
|---|---|---|
| 2022 | $56,591 | |
| 2023 | $83,492 | |
| 2024 | $69,371 |
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 |
|---|---|---|---|---|---|
| D0230 | Additional dental X-ray | 2,012 | $43,891 | 21.0% | $22 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 1,093 | $34,749 | 16.6% | $32 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 573 | $19,132 | 9.1% | $33 |
| D0274 | Dental X-ray — bitewings (four films) | 838 | $18,753 | 9.0% | $22 |
| D0220 | Single dental X-ray (of one tooth) | 1,372 | $16,450 | 7.9% | $12 |
| D1120 | Dental cleaning for children (prophylaxis) | 389 | $16,109 | 7.7% | $41 |
| D0210 | Full set of dental X-rays | 283 | $15,972 | 7.6% | $56 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 467 | $13,258 | 6.3% | $28 |
| D0120 | Regular dental checkup and exam | 707 | $11,162 | 5.3% | $16 |
| D1110 | Dental cleaning for adults (prophylaxis) | 545 | $10,323 | 4.9% | $19 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 363 | $9,445 | 4.5% | $26 |
| D0601 | Dental exam, X-ray, or screening | 64 | $210 | 0.1% | $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.