4G DENTAL PARTNERS SOS Verified
4235 E CHARLESTON BLVD, LAS VEGAS, NV 89104
NPI Number
1922569607
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: 4G DENTAL PARTNERS L.L.C.
Entity Number: E0013862019-2
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2019-01-10
Name Match: 90%
Registered Agent
Name: WYATT STOTT DANNELS
Type: Non-Commercial Registered Agent
Address: 612 CHERVIL VALLEY DR, LAS VEGAS, NV, 89138
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | WYATT DANNELS | 612 CHERVIL VALLEY DR, LAS VEGAS, NV, 89138 | Active |
| Other | YOUSSEF SALLOUM | 10425 E LARKSPUR DRIVE, Scottsdale, AZ | Active |
Total Medicaid Payments
$82,879
-83% vs specialty average
Patients Seen
2,528
Total Claims
3,241
$ Per Patient
$33
Specialty avg: $33
Specialty Rank
#20 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 |
|---|---|---|
| 2023 | $5,967 | |
| 2024 | $76,912 |
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 | 382 | $19,955 | 24.1% | $52 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 506 | $12,690 | 15.3% | $25 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 272 | $12,254 | 14.8% | $45 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 434 | $8,650 | 10.4% | $20 |
| D0274 | Dental X-ray — bitewings (four films) | 332 | $7,331 | 8.8% | $22 |
| D1120 | Dental cleaning for children (prophylaxis) | 120 | $5,100 | 6.2% | $42 |
| D0220 | Single dental X-ray (of one tooth) | 397 | $4,738 | 5.7% | $12 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 77 | $3,265 | 3.9% | $42 |
| D1110 | Dental cleaning for adults (prophylaxis) | 120 | $2,673 | 3.2% | $22 |
| D0230 | Additional dental X-ray | 417 | $2,410 | 2.9% | $6 |
| D0160 | Dental exam, X-ray, or screening | 53 | $1,375 | 1.7% | $26 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 20 | $1,036 | 1.2% | $52 |
| D0120 | Regular dental checkup and exam | 44 | $728 | 0.9% | $17 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 53 | $566 | 0.7% | $11 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 14 | $110 | 0.1% | $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.