VEGAS PEDIATRIC PARTNERS SOS Verified
5642 S EASTERN AVE STE F, LAS VEGAS, NV 89119
NPI Number
1942945340
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
$301,358
-76% vs specialty average
Patients Seen
7,968
Total Claims
14,801
$ Per Patient
$38
Specialty avg: $40
Specialty Rank
#43 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
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 | $13,178 | |
| 2023 | $158,735 | |
| 2024 | $129,445 |
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 | 3,065 | $55,085 | 18.3% | $18 |
| D1120 | Dental cleaning for children (prophylaxis) | 1,087 | $44,716 | 14.8% | $41 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 1,123 | $33,467 | 11.1% | $30 |
| D2393 | Tooth-colored (resin) filling — three surfaces, back tooth | 547 | $23,637 | 7.8% | $43 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 701 | $22,003 | 7.3% | $31 |
| D0230 | Additional dental X-ray | 3,774 | $21,828 | 7.2% | $6 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 639 | $20,366 | 6.8% | $32 |
| D2335 | Tooth-colored (resin) filling — four or more surfaces, front tooth | 251 | $18,019 | 6.0% | $72 |
| D0274 | Dental X-ray — bitewings (four films) | 838 | $17,746 | 5.9% | $21 |
| D3120 | Root canal or dental pulp treatment | 633 | $10,621 | 3.5% | $17 |
| D0220 | Single dental X-ray (of one tooth) | 895 | $9,078 | 3.0% | $10 |
| D0120 | Regular dental checkup and exam | 312 | $7,683 | 2.5% | $25 |
| D2394 | Tooth-colored (resin) filling — four or more surfaces, back tooth | 149 | $7,112 | 2.4% | $48 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 491 | $5,596 | 1.9% | $11 |
| D0210 | Full set of dental X-rays | 19 | $928 | 0.3% | $49 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 24 | $904 | 0.3% | $38 |
| D0603 | Dental exam, X-ray, or screening | 134 | $677 | 0.2% | $5 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 64 | $637 | 0.2% | $10 |
| D0999 | Dental exam, X-ray, or screening | 21 | $630 | 0.2% | $30 |
| D9999 | Other dental service | 21 | $420 | 0.1% | $20 |
| D0145 | Oral evaluation for a patient under 3 years old | 13 | $205 | 0.1% | $16 |
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.