DERRICK PHAM DDS PROFESSIONAL CORPORATION DBA LV DENTAL SOS Verified
4705 S DURANGO DR STE 115, LAS VEGAS, NV 89147
NPI Number
1811623283
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Derrick Pham, DDS Professional Corporation
Entity Number: E25045152022-1
Entity Type: Domestic Professional Corporation
Entity Status: Active
Formation Date: 2022-07-26
Status Changed: 2022-07-26
Name Match: 90%
Registered Agent
Name: DERRICK PHAM
Type: Non-Commercial Registered Agent
Address: 5947 AZZURA PALMS AVE, Las Vegas, NV, 89139
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Director | Derrick Pham | 5947 Azzura Palms Ave, Las Vegas, NV | Active |
| President | Derrick Pham | 5947 Azzura Palms Ave, Las Vegas, NV | Active |
| Treasurer | Cindy Nguyen | 5947 Azzura Palms Avenue, Las Vegas, NV | Active |
Campaign Contributions
Officer / Individual Matches
Cindy NguyenPossible Match
Matched via officer: Cindy Nguyen (Treasurer)
Cindy NguyenPossible Match
Matched via officer: Cindy Nguyen (Treasurer)
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Total Medicaid Payments
$18,220
-96% vs specialty average
Patients Seen
691
Total Claims
939
$ Per Patient
$26
Specialty avg: $36
Specialty Rank
#174 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.4
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 |
|---|---|---|
| 2023 | $2,418 | |
| 2024 | $15,802 |
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 |
|---|---|---|---|---|---|
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 169 | $4,143 | 22.7% | $25 |
| D0210 | Full set of dental X-rays | 74 | $3,906 | 21.4% | $53 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 91 | $3,594 | 19.7% | $39 |
| D0274 | Dental X-ray — bitewings (four films) | 117 | $2,792 | 15.3% | $24 |
| D0230 | Additional dental X-ray | 358 | $2,030 | 11.1% | $6 |
| D0220 | Single dental X-ray (of one tooth) | 130 | $1,755 | 9.6% | $13 |
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.