Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NV › LAS VEGAS › TENDER DENTAL BOULDER, LLC

TENDER DENTAL BOULDER, LLC

NPI: 1215467295 · LAS VEGAS, NV 89122 · General Practice Dentistry · NPI assigned 06/13/2017

$17K
Total Medicaid Paid
1,206
Total Claims
686
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialSHERMAN, MICHAEL (CLINICAL DIRECTOR)
Parent OrganizationTENDER DENTAL MANAGEMENT, LLC
NPI Enumeration Date06/13/2017

Related Entities

Other providers sharing the same authorized official: SHERMAN, MICHAEL

ProviderCityStateTotal Paid
MICHAEL S. SHERMAN, DO, PC GARDEN CITY MI $119K
MICHAEL P SHERMAN MD PHD, A MEDICAL CORPORATION WALNUT CREEK CA $101K
TENDER DENTAL BONANZA, LLC LAS VEGAS NV $59K
AGAPE INTERNAL MEDICINE & PEDIATRICS, P.C. ALBANY OR $32K
ALLERGY & ASTHMA CENTER, P.C. MARLBORO NJ $21K
TENDER DENTAL MEAD, LLC LAS VEGAS NV $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 538 $5K
2019 88 $896.54
2022 545 $10K
2023 35 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 237 146 $4K
D0330 Panoramic radiographic image 195 123 $3K
D0210 Intraoral - complete series of radiographic images 66 53 $3K
D0150 Comprehensive oral evaluation - new or established patient 133 87 $2K
D0220 Intraoral - periapical first radiographic image 260 147 $2K
D9310 33 25 $1K
D1120 Prophylaxis - child 31 18 $445.96
D2330 77 13 $281.90
D1206 Topical application of fluoride varnish 28 18 $280.00
D0120 Periodic oral evaluation - established patient 33 20 $149.72
D2930 Prefabricated stainless steel crown - primary tooth 76 12 $144.00
D9991 18 12 $51.25
D9420 19 12 $40.99