CHILDREN'S DENTAL GROUP, INC. SOS Verified
8430 W LAKE MEAD BLVD SUITE 150, LAS VEGAS, NV 89128
NPI Number
1881861037
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: CHILDREN'S DENTAL GROUP, INC.
Entity Number: C6436-1997
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 1997-03-27
Status Changed: 2010-05-03
Name Match: 95%
Registered Agent
Name: ANDRE MICHAELIAN
Type: Non-Commercial Registered Agent
Address: 413 CANYON GREENS DR., LAS VEGAS, NV, 89144
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | ANDRE MICHAELIAN | 8430 W. LAKE MEAD BLVD. STE. 150, LAS VEGAS, NV, 89128 | Active |
| Secretary | ANDRE MICHAELIAN | 8430 W. LAKE MEAD BLVD. STE. 150, LAS VEGAS, NV, 89128 | Active |
| Treasurer | ANDRE MICHAELIAN | 8430 W. LAKE MEAD BLVD. STE. 150, LAS VEGAS, NV, 89128 | Active |
| Director | ANDRE MICHAELIAN | 8430 W. LAKE MEAD BLVD. STE. 150, LAS VEGAS, NV, 89128 | Active |
Campaign Contributions
$100Total Contributed
Officer / Individual Matches
MICHAELIAN, ANDREProbable Match
Matched via officer: ANDRE MICHAELIAN (President)
$100 across 1 contribution
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
$63,722
-95% vs specialty average
Patients Seen
2,899
Total Claims
3,352
$ Per Patient
$22
Specialty avg: $40
Specialty Rank
#67 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
Claims per Patient
1.2
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 |
|---|---|---|
| 2018 | $28,098 | |
| 2019 | $10,123 | |
| 2020 | $4,968 | |
| 2021 | $3,907 | |
| 2022 | $2,930 | |
| 2023 | $6,806 | |
| 2024 | $6,890 |
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 |
|---|---|---|---|---|---|
| D1120 | Dental cleaning for children (prophylaxis) | 584 | $25,597 | 40.2% | $44 |
| D0272 | Dental X-ray — bitewings (two films) | 636 | $11,096 | 17.4% | $17 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 310 | $8,034 | 12.6% | $26 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 777 | $6,417 | 10.1% | $8 |
| D0230 | Additional dental X-ray | 703 | $4,769 | 7.5% | $7 |
| D0120 | Regular dental checkup and exam | 120 | $3,467 | 5.4% | $29 |
| D0220 | Single dental X-ray (of one tooth) | 149 | $2,476 | 3.9% | $17 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 73 | $1,866 | 2.9% | $26 |
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.