Dental
Henderson Pediatric Dentistry PC
Henderson Pediatric Dentistry PC was paid $2.29M by Medicaid between Jan 2019 and Dec 2024, across 38 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoHENDERSON PEDIATRIC DENTISTRY PC
HENDERSON, NV 89014
HENDERSON, NV 89014
33aNPI1326537028assigned 05/08/2018
33bProvider typePediatric Dentist
28Total paid$2.29M
24GClaims105,107
24DCodes billed38
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nevada
Rank by total paid#11 of 85
Median peer was paid$244K
This provider vs. median9.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 9,830 | $171K | |
| 2020 | 15,844 | $329K | |
| 2021 | 22,007 | $386K | |
| 2022 | 17,769 | $423K | |
| 2023 | 19,660 | $466K | |
| 2024incomplete | 19,997 | $517K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 10,456 | 9,387 | $422K |
| D1206 | Topical application of fluoride varnish | 16% | 11,695 | 10,460 | $374K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.8% | 3,431 | 1,030 | $203K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 6,759 | 6,069 | $186K |
| D1351 | Sealant - per tooth | 6.5% | 7,811 | 1,334 | $150K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 25,112 | 7,705 | $131K |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 3,542 | 1,514 | $118K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.8% | 4,621 | 4,112 | $110K |
| D9248 | 4.2% | 1,575 | 1,212 | $96K | |
| D0272 | Bitewings - two radiographic images | 2.5% | 3,659 | 3,287 | $58K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 5,581 | 4,737 | $58K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 1,823 | 1,651 | $52K |
26 more codes
| D0330 | Panoramic radiographic image | 2.1% | 1,534 | $49K |
| D1110 | Prophylaxis - adult | 2.1% | 1,323 | $47K |
| D0274 | Bitewings - four radiographic images | 1.7% | 2,046 | $40K |
| D9999 | Unspecified adjunctive procedure, by report | 1.6% | 940 | $37K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 3,174 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 3,249 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 1.0% | 597 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 631 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 319 | $16K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 367 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 410 | $8K |
| D3120 | <1% | 388 | $7K | |
| D0340 | <1% | 216 | $3K | |
| D1354 | <1% | 461 | $3K | |
| D0603 | <1% | 1,003 | $2K | |
| D0601 | <1% | 637 | $2K | |
| D1510 | <1% | 51 | $2K | |
| D0602 | <1% | 971 | $2K | |
| D9310 | <1% | 184 | $922.50 | |
| D2330 | <1% | 18 | $845.70 | |
| D1999 | <1% | 64 | $825.00 | |
| D0350 | <1% | 241 | $574.00 | |
| D0470 | <1% | 63 | $461.16 | |
| D2920 | <1% | 13 | $273.74 | |
| D0190 | <1% | 15 | $215.19 | |
| D8670 | Periodic orthodontic treatment visit | 0% | 127 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSTACEY, DIANE (DR)