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BOARD OF REGENTS, NEVADA SYSTEM OF HIGHER EDUCATION

Clinic/Center, Dental · LAS VEGAS, NV

1700 W. CHARLESTON BLVD. BUILDING A, LAS VEGAS, NV 89102

NPI Number
1821175894
Street View of 1700 W. CHARLESTON BLVD. BUILDING A, LAS VEGAS, NV 89102

Practice location · View on Google Maps

SOS Verification: Pending Review
Multiple SOS Matches

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
2019$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
D0120Regular dental checkup and exam65$0
0.0%
$0
D9230Analgesia (pain management during dental work, like nitrous oxide/laughing gas)39$0
0.0%
$0
D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth96$0
0.0%
$0
D1351Dental sealant — protective coating on a tooth to prevent cavities40$0
0.0%
$0
D0270Dental X-ray — bitewing (single film, checks for cavities between teeth)22$0
0.0%
$0
D0220Single dental X-ray (of one tooth)84$0
0.0%
$0
D0230Additional dental X-ray49$0
0.0%
$0
D2392Tooth-colored (resin) filling — two surfaces, back tooth36$0
0.0%
$0
D0460Dental exam, X-ray, or screening32$0
0.0%
$0
D0330Panoramic dental X-ray (full view of all teeth and jaw)30$0
0.0%
$0
D0272Dental X-ray — bitewings (two films)113$0
0.0%
$0
D1206Fluoride treatment — painted on teeth to prevent cavities154$0
0.0%
$0
D0274Dental X-ray — bitewings (four films)36$0
0.0%
$0
D1120Dental cleaning for children (prophylaxis)160$0
0.0%
$0
D0240Dental X-ray of the whole mouth (panoramic)217$0
0.0%
$0
D2391Tooth-colored (resin) filling — one surface, back tooth39$0
0.0%
$0