DENTAL ANESTHESIA OF NEVADA, LLC SOS Verified
10645 DOUBLE R BLVD, RENO, NV 89521
NPI Number
1821694308
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Dental Anesthesia of Nevada, LLC
Entity Number: E11025252020-7
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2020-12-15
Status Changed: 2020-12-15
Name Match: 95%
Registered Agent
Name: SHAY L WELLS
Type: Commercial Registered Agent
Address: 6100 NEIL RD STE 500, Reno, NV, 89511
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | Bluetree Dental LLC | 3605 Grant Drive, Reno, NV | Active |
Total Medicaid Payments
$730,968
0% vs specialty average
Patients Seen
6,995
Total Claims
12,003
$ Per Patient
$104
Specialty avg: $104
Specialty Rank
#1 of 1
Dentist, Dentist Anesthesiologist Speciality providers in Nevada
Peer Average
$730,968
Average total for Dentist, Dentist Anesthesiologist Speciality
Claims per Patient
1.7
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 |
|---|---|---|
| 2021 | $113,307 | |
| 2022 | $217,443 | |
| 2023 | $174,940 | |
| 2024 | $225,278 |
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 |
|---|---|---|---|---|---|
| D9223 | Other dental service | 6,674 | $430,893 | 58.9% | $65 |
| D9222 | Other dental service | 2,183 | $153,986 | 21.1% | $71 |
| D9310 | Dental consultation — specialist opinion on a dental problem | 2,176 | $117,106 | 16.0% | $54 |
| D9612 | Other dental service | 970 | $28,983 | 4.0% | $30 |
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.