CFD SOUTH MEADOWS LLC SOS Verified
9598 PROTOTYPE CT STE A, RENO, NV 89521
NPI Number
1912612326
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: CFD SOUTH MEADOWS, LLC
Entity Number: E0083762018-3
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2018-02-19
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 |
|---|---|---|---|
| Manager | 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 (Manager)
$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
$15,854
-96% vs specialty average
Patients Seen
439
Total Claims
482
$ Per Patient
$36
Specialty avg: $36
Specialty Rank
#178 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.1
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 |
|---|---|---|
| 2023 | $15,854 |
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 |
|---|---|---|---|---|---|
| D0210 | Full set of dental X-rays | 160 | $7,191 | 45.4% | $45 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 182 | $5,144 | 32.4% | $28 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 42 | $2,000 | 12.6% | $48 |
| D0220 | Single dental X-ray (of one tooth) | 60 | $988 | 6.2% | $16 |
| D1110 | Dental cleaning for adults (prophylaxis) | 22 | $400 | 2.5% | $18 |
| D0230 | Additional dental X-ray | 16 | $132 | 0.8% | $8 |
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.