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BELTWAY DENTAL PARTNERS SOS Verified

Dentist, General Practice · LAS VEGAS, NV

9210 S EASTERN AVE STE 130, LAS VEGAS, NV 89123

NPI Number
1891386462
Street View of 9210 S EASTERN AVE STE 130, LAS VEGAS, NV 89123

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: Beltway Dental Partners LLC
Entity Number: E11576352021-0
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2021-01-11
Status Changed: 2021-01-11
Name Match: 90%
Registered Agent
Name: Wyatt Dannels
Type: Non-Commercial Registered Agent
Address: 612 Chervil Valley Dr, Las Vegas, NV, 89138
Officers / Principals
TitleNameAddressStatus
OtherWyatt Dannels12653 Penfield Ave, Las Vegas, NVActive
OtherYoussef Salloum353 E Bonneville Ave, Suite 713, Las Vegas, NVActive
Total Medicaid Payments
$76,538
-82% vs specialty average
Patients Seen
2,616
Total Claims
3,398
$ Per Patient
$29
Specialty avg: $36
Specialty Rank
#111 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
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
2021$9,529
2022$26,289
2023$21,773
2024$18,948

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
D0210Full set of dental X-rays609$30,621
40.0%
$50
D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth420$10,460
13.7%
$25
D0160Dental exam, X-ray, or screening631$9,740
12.7%
$15
D0220Single dental X-ray (of one tooth)432$5,239
6.8%
$12
D0274Dental X-ray — bitewings (four films)208$4,587
6.0%
$22
D0230Additional dental X-ray587$3,278
4.3%
$6
D1120Dental cleaning for children (prophylaxis)84$3,053
4.0%
$36
D1110Dental cleaning for adults (prophylaxis)131$2,434
3.2%
$19
D1351Dental sealant — protective coating on a tooth to prevent cavities106$2,051
2.7%
$19
D2392Tooth-colored (resin) filling — two surfaces, back tooth50$1,882
2.5%
$38
D0330Panoramic dental X-ray (full view of all teeth and jaw)30$1,097
1.4%
$37
D0120Regular dental checkup and exam57$935
1.2%
$16
D1206Fluoride treatment — painted on teeth to prevent cavities40$816
1.1%
$20
D0140Limited dental exam — for a specific problem (like a toothache)13$346
0.5%
$27

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.