VEGAS PEDIATRIC PARTNERS SOS Verified
240 N JONES BLVD STE C, LAS VEGAS, NV 89107
NPI Number
1831858653
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Vegas Pediatric Partners, LLC
Entity Number: E19032532021-7
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2021-11-18
Status Changed: 2021-11-18
Name Match: 90%
Registered Agent
Name: Wyatt Dannels
Type: Non-Commercial Registered Agent
Address: 12653 Penfield Ave, Las Vegas, NV, 89138
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | Wyatt Dannels | 12653 Penfield Ave, Las Vegas, NV | Active |
| Other | Youssef Salloum | 353 E Bonneville Ave, Unit 713, Las Vegas, NV | Active |
Total Medicaid Payments
$126,085
-75% vs specialty average
Patients Seen
3,698
Total Claims
6,908
$ Per Patient
$34
Specialty avg: $33
Specialty Rank
#17 of 36
Clinic/Center, Dental providers in Nevada
Peer Average
$498,808
Average total for Clinic/Center, Dental
Claims per Patient
1.9
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 | $11,867 | |
| 2023 | $97,745 | |
| 2024 | $16,474 |
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 |
|---|---|---|---|---|---|
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 1,525 | $26,365 | 20.9% | $17 |
| D1120 | Dental cleaning for children (prophylaxis) | 571 | $23,326 | 18.5% | $41 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 600 | $16,749 | 13.3% | $28 |
| D0230 | Additional dental X-ray | 2,033 | $11,502 | 9.1% | $6 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 364 | $11,443 | 9.1% | $31 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 268 | $9,079 | 7.2% | $34 |
| D0274 | Dental X-ray — bitewings (four films) | 391 | $8,238 | 6.5% | $21 |
| D0220 | Single dental X-ray (of one tooth) | 471 | $4,701 | 3.7% | $10 |
| D2393 | Tooth-colored (resin) filling — three surfaces, back tooth | 72 | $3,758 | 3.0% | $52 |
| D3120 | Root canal or dental pulp treatment | 204 | $3,502 | 2.8% | $17 |
| D0120 | Regular dental checkup and exam | 135 | $3,148 | 2.5% | $23 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 173 | $2,618 | 2.1% | $15 |
| D0210 | Full set of dental X-rays | 12 | $743 | 0.6% | $62 |
| D0999 | Dental exam, X-ray, or screening | 13 | $390 | 0.3% | $30 |
| D0603 | Dental exam, X-ray, or screening | 63 | $262 | 0.2% | $4 |
| D9999 | Other dental service | 13 | $260 | 0.2% | $20 |
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.