JASON CHAMPAGNE III PLLC SOS Verified
175 BRINKBY AVE, RENO, NV 89509
NPI Number
1821753047
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Jason Champagne III, PLLC
Entity Number: E17574092021-7
Entity Type: Domestic Professional LLC
Entity Status: Active
Formation Date: 2021-09-17
Status Changed: 2021-09-17
Name Match: 95%
Registered Agent
Name: David Shackelton
Type: Non-Commercial Registered Agent
Address: 60 LONEPINE CT, Reno, NV, 89519
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Jason Champagne | 255 Glendale Ave, Suite 3, Sparks, NV | Active |
Campaign Contributions
$1,750Total Contributed
2Candidates Supported
Officer / Individual Matches
Jason ChampagneProbable Match
Matched via officer: Jason Champagne (Mmember)
$1,750 across 2 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Heidi Gansert | Office Not Specified | Republican Party | $250 | 1 |
| Nevada Dental Association PAC | PAC | $1,500 | 1 |
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
$268,711
-46% vs specialty average
Patients Seen
7,754
Total Claims
9,853
$ Per Patient
$35
Specialty avg: $33
Specialty Rank
#13 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 | $70,824 | |
| 2023 | $131,509 | |
| 2024 | $66,378 |
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 |
|---|---|---|---|---|---|
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 1,044 | $43,824 | 16.3% | $42 |
| D1120 | Dental cleaning for children (prophylaxis) | 749 | $37,191 | 13.8% | $50 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 988 | $27,619 | 10.3% | $28 |
| D0210 | Full set of dental X-rays | 374 | $20,486 | 7.6% | $55 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 1,051 | $19,038 | 7.1% | $18 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 495 | $15,007 | 5.6% | $30 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 290 | $12,981 | 4.8% | $45 |
| D0120 | Regular dental checkup and exam | 363 | $11,581 | 4.3% | $32 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 186 | $11,068 | 4.1% | $60 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 353 | $11,039 | 4.1% | $31 |
| D0220 | Single dental X-ray (of one tooth) | 756 | $8,867 | 3.3% | $12 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 482 | $8,118 | 3.0% | $17 |
| D5214 | Partial lower denture — with resin base | 17 | $7,212 | 2.7% | $424 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 186 | $6,648 | 2.5% | $36 |
| D0272 | Dental X-ray — bitewings (two films) | 325 | $5,639 | 2.1% | $17 |
| D0230 | Additional dental X-ray | 1,056 | $5,390 | 2.0% | $5 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 73 | $3,219 | 1.2% | $44 |
| D1110 | Dental cleaning for adults (prophylaxis) | 76 | $2,850 | 1.1% | $38 |
| D0274 | Dental X-ray — bitewings (four films) | 126 | $2,351 | 0.9% | $19 |
| D9999 | Other dental service | 44 | $2,240 | 0.8% | $51 |
| D4346 | Gum disease treatment (periodontics) | 17 | $2,214 | 0.8% | $130 |
| D4355 | Gum disease treatment (periodontics) | 103 | $1,886 | 0.7% | $18 |
| D0145 | Oral evaluation for a patient under 3 years old | 66 | $1,428 | 0.5% | $22 |
| D0191 | Dental exam, X-ray, or screening | 50 | $473 | 0.2% | $9 |
| D0603 | Dental exam, X-ray, or screening | 387 | $291 | 0.1% | $1 |
| D0602 | Dental exam, X-ray, or screening | 82 | $53 | 0.0% | $1 |
| D9986 | Other dental service | 114 | $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.