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HARMON AND OTTESON DENTAL LLC SOS Verified

Clinic/Center, Dental · LAS VEGAS, NV

5061 E SAHARA AVE STE 1A, LAS VEGAS, NV 89142

NPI Number
1790448199
Street View of 5061 E SAHARA AVE STE 1A, LAS VEGAS, NV 89142

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: Harmon and Otteson Dental LLC
Entity Number: E17240122021-9
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2021-09-02
Status Changed: 2021-09-02
Name Match: 95%
Officers / Principals
TitleNameAddressStatus
OtherDylan Harmon8457 S Fox Brook St, Las Vegas, NVActive
ManagerChristian Otteson2632 Sunday Grace Dr, Henderson, NVActive
ManagerKendra Ebert8457 S Fox Brook St, Las Vegas, NVActive
Total Medicaid Payments
$819,804
+64% vs specialty average
Patients Seen
22,648
Total Claims
29,533
$ Per Patient
$36
Specialty avg: $33
Specialty Rank
#6 of 36
Clinic/Center, Dental providers in Nevada
Peer Average
$498,808
Average total for Clinic/Center, Dental
Claims per Patient
1.3
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$213,404
2023$317,221
2024$289,179

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
D0210Full set of dental X-rays1,729$93,371
11.4%
$54
D1120Dental cleaning for children (prophylaxis)2,025$85,974
10.5%
$42
D2392Tooth-colored (resin) filling — two surfaces, back tooth1,746$85,690
10.5%
$49
D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth2,818$80,148
9.8%
$28
D1351Dental sealant — protective coating on a tooth to prevent cavities3,770$78,761
9.6%
$21
D7210Surgical tooth extraction — requires cutting into gum or removing bone1,464$74,223
9.1%
$51
D1206Fluoride treatment — painted on teeth to prevent cavities2,132$71,569
8.7%
$34
D0274Dental X-ray — bitewings (four films)2,418$52,877
6.4%
$22
D0120Regular dental checkup and exam1,470$31,867
3.9%
$22
D2391Tooth-colored (resin) filling — one surface, back tooth766$28,736
3.5%
$38
D0220Single dental X-ray (of one tooth)2,210$26,904
3.3%
$12
D7140Tooth extraction — pulling a tooth that has erupted585$22,107
2.7%
$38
D0140Limited dental exam — for a specific problem (like a toothache)651$19,776
2.4%
$30
D0330Panoramic dental X-ray (full view of all teeth and jaw)562$19,206
2.3%
$34
D0230Additional dental X-ray2,824$15,588
1.9%
$6
D0240Dental X-ray of the whole mouth (panoramic)585$8,159
1.0%
$14
D2393Tooth-colored (resin) filling — three surfaces, back tooth119$6,282
0.8%
$53
D1110Dental cleaning for adults (prophylaxis)251$4,505
0.5%
$18
D1353Dental preventive care (cleaning, fluoride, sealant)241$3,724
0.5%
$15
D0601Dental exam, X-ray, or screening513$2,416
0.3%
$5
D2950Crown buildup — rebuilding a broken tooth so a crown can be placed36$1,950
0.2%
$54
D0603Dental exam, X-ray, or screening345$1,705
0.2%
$5
D0999Dental exam, X-ray, or screening45$1,350
0.2%
$30
D0272Dental X-ray — bitewings (two films)67$1,153
0.1%
$17
D9230Analgesia (pain management during dental work, like nitrous oxide/laughing gas)49$811
0.1%
$17
D9999Other dental service28$560
0.1%
$20
D0602Dental exam, X-ray, or screening84$392
0.0%
$5

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.