TENDER DENTAL BONANZA, LLC
5001 E BONANZA RD STE 160, LAS VEGAS, NV 89110
NPI Number
1679227839
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$58,595
-86% vs specialty average
Patients Seen
1,556
Total Claims
2,497
$ Per Patient
$38
Specialty avg: $36
Specialty Rank
#123 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.6
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 | $58,595 |
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 |
|---|---|---|---|---|---|
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 667 | $28,061 | 47.9% | $42 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 370 | $10,105 | 17.2% | $27 |
| D0220 | Single dental X-ray (of one tooth) | 525 | $5,359 | 9.1% | $10 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 251 | $4,219 | 7.2% | $17 |
| D0210 | Full set of dental X-rays | 76 | $2,486 | 4.2% | $33 |
| D0120 | Regular dental checkup and exam | 150 | $2,172 | 3.7% | $14 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 82 | $1,928 | 3.3% | $24 |
| D0274 | Dental X-ray — bitewings (four films) | 122 | $1,695 | 2.9% | $14 |
| D1110 | Dental cleaning for adults (prophylaxis) | 93 | $1,543 | 2.6% | $17 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 25 | $525 | 0.9% | $21 |
| D0230 | Additional dental X-ray | 136 | $502 | 0.9% | $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.