ONE DENTAL GROUP LLC SOS Verified
4250 S RAINBOW BLVD STE 1004, LAS VEGAS, NV 89103
NPI Number
1982373957
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: ONE DENTAL GROUP LLC
Entity Number: E17458452021-3
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2021-09-12
Status Changed: 2021-09-12
Name Match: 95%
Registered Agent
Name: Kevin Kwon
Type: Non-Commercial Registered Agent
Address: 3041 Hushed Sonnet Ave, Henderson, NV, 89044
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Irene Han | 3041 Hushed Sonnet Ave, Henderson, NV | Active |
Total Medicaid Payments
$30,496
-94% vs specialty average
Patients Seen
1,866
Total Claims
2,281
$ Per Patient
$16
Specialty avg: $33
Specialty Rank
#30 of 36
Clinic/Center, Dental providers in Nevada
Peer Average
$498,808
Average total for Clinic/Center, Dental
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 |
|---|---|---|
| 2022 | $16,144 | |
| 2023 | $10,241 | |
| 2024 | $4,112 |
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 |
|---|---|---|---|---|---|
| D0220 | Single dental X-ray (of one tooth) | 698 | $7,605 | 24.9% | $11 |
| D0274 | Dental X-ray — bitewings (four films) | 310 | $6,439 | 21.1% | $21 |
| D0230 | Additional dental X-ray | 847 | $5,690 | 18.7% | $7 |
| D0120 | Regular dental checkup and exam | 195 | $3,386 | 11.1% | $17 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 97 | $3,025 | 9.9% | $31 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 64 | $1,928 | 6.3% | $30 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 30 | $1,113 | 3.7% | $37 |
| D0210 | Full set of dental X-rays | 13 | $589 | 1.9% | $45 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 12 | $385 | 1.3% | $32 |
| D1110 | Dental cleaning for adults (prophylaxis) | 15 | $335 | 1.1% | $22 |
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.