JACK NGUYEN, DDS
2570 WIGWAM PKWY, HENDERSON, NV 89074
NPI Number
1700323839
Practice location · View on Google Maps
Total Medicaid Payments
$330,854
-7% vs specialty average
Patients Seen
14,311
Total Claims
21,553
$ Per Patient
$23
Specialty avg: $34
Specialty Rank
#43 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 |
|---|---|---|
| 2018 | $329,178 | |
| 2019 | $1,676 | |
| 2022 | $0 |
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) | 2,125 | $77,535 | 23.4% | $36 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 3,195 | $59,807 | 18.1% | $19 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 2,102 | $59,710 | 18.0% | $28 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 821 | $21,207 | 6.4% | $26 |
| D0274 | Dental X-ray — bitewings (four films) | 1,064 | $19,705 | 6.0% | $19 |
| D0350 | Dental exam, X-ray, or screening | 3,952 | $15,478 | 4.7% | $4 |
| D0120 | Regular dental checkup and exam | 1,099 | $14,560 | 4.4% | $13 |
| D0220 | Single dental X-ray (of one tooth) | 2,025 | $13,958 | 4.2% | $7 |
| D0230 | Additional dental X-ray | 1,980 | $9,289 | 2.8% | $5 |
| D0272 | Dental X-ray — bitewings (two films) | 504 | $7,488 | 2.3% | $15 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 166 | $6,310 | 1.9% | $38 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 181 | $5,295 | 1.6% | $29 |
| D0603 | Dental exam, X-ray, or screening | 979 | $4,010 | 1.2% | $4 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 314 | $3,891 | 1.2% | $12 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 142 | $3,224 | 1.0% | $23 |
| D0145 | Oral evaluation for a patient under 3 years old | 196 | $3,116 | 0.9% | $16 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 87 | $2,933 | 0.9% | $34 |
| D0602 | Dental exam, X-ray, or screening | 437 | $1,680 | 0.5% | $4 |
| D7111 | Extraction — pulling a baby tooth that's already loose | 40 | $775 | 0.2% | $19 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 47 | $705 | 0.2% | $15 |
| D3120 | Root canal or dental pulp treatment | 37 | $144 | 0.0% | $4 |
| D0601 | Dental exam, X-ray, or screening | 43 | $35 | 0.0% | $1 |
| D9986 | Other dental service | 17 | $0 | 0.0% | $0 |
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.