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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdgar Betancourt-preval
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    Edgar Betancourt-preval — Billing Profile & Reimbursement Data

    NPI 1144662693 · Henderson, NV · General Practice Dentistry

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    Edgar Betancourt-preval is a general practice dentistry provider located in Henderson, Nevada. This profile covers 0 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEdgar Betancourt-preval
    Address1001 Whitney Ranch Dr
    CityHenderson
    StateNV
    ZIP89014
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJuly 25, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…3,070$50$165.8K
    D1120Prophylaxis–child3,510$40$147.5K
    D0210Intraoral - complete series of radiographic images2,540$60$142.5K
    D1351Sealant - per tooth5,950$20$118.9K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients3,490$30$118.8K
    D0150Comprehensive oral evaluation – new or established patient3,510$30$101.7K
    D0230Intraoral - periapical each additional radiographic image17,870$10$89.3K
    D0120Periodic oral evaluation - established patient3,650$20$69.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3,390$20$64.3K
    D0140Limited oral evaluation – problem focused2,020$30$60.5K

    Showing 1–10 of 23

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…17150270$70$141.3K
    D7241N/A21050$190$107.2K
    D1120Prophylaxis–child67490460$40$96.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients74450470$40$92K
    D1351Sealant - per tooth35320700$20$63.9K
    D0120Periodic oral evaluation - established patient48460330$20$40.5K
    D2150Amalgam - two surfaces, primary or permanent5270150$60$38.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)77210210$40$35.1K
    D0150Comprehensive oral evaluation – new or established patient34470300$30$31.8K
    D0272N/A37250330$20$29.6K

    Showing 1–10 of 23

    Nearby Providers

    Other providers in the same ZIP code as Edgar Betancourt-preval, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Qureshi Al-owir PLLCNVCritical Care Medicine (Internal Medicine) Physician$0$7.4M
    Jagannath S. Surpure, M.d.p.c.NVPediatrics Physician$0$2.6M
    Maryam Sina Dds LtdNVPediatric Dentistry$0$2.6M
    Valley Springs Dialysis LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M
    Claudia GarciaNVPediatrics Physician$0$2.4M
    Henderson Pediatric Dentistry PCNVPediatric Dentistry$0$2.3M
    Isd Las Vegas LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.2M
    Tran Tounian Hoang I, Dds, PLLCNVGeneral Practice Dentistry$0$1.9M
    Reliable Care Registry CorpNVHealth Maintenance Organization$0$1.7M
    Gyhe LLCNVCommunity/Behavioral Health Agency$0$1.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nevada Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Edgar Betancourt-preval — 3 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada