Providers

TIMOTHY A WILSON, DDS

NPI 1366582454, individual, Las Vegas, NV, Dentist, Pediatric Dentistry

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since January 26, 2023.
  • Medicaid still paid claims in 21 later months, $191,872 in total.
score 95 of 100, rank 113, $192K at stake

Public list actions

Medicare revocation effective January 26, 2023, barred from re-enrolling until January 26, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Order And Referring Only - Oral Surgery, NV

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJan 26, 2023Jan 26, 203321Feb 2023Dec 2024$192K$94K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameTIMOTHY A WILSON, DDS
TypeIndividual, sole proprietor
StatusActive
NPI issuedFebruary 7, 2007, last updated July 18, 2016
Practice location169 N NELLIS BLVD, Las Vegas, NV 89110-5320, 702-384-1010
Mailing address526 S TONOPAH DR, STE. 200, Las Vegas, NV 89106-4043
Specialties
Dentist (122300000X, license 4522T NV)
Dentist, Pediatric Dentistry (1223P0221X, primary, license S6-142 NV)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
D2391Medicaid service code$144K18%$61$95 (top 5% from $191)19th percentile
D1120Medicaid service code$120K15%$8.55$34 (top 5% from $51)6th percentile
D2392Medicaid service code$108K13%$54$126 (top 5% from $259)9th percentile
D2330Medicaid service code$69K9%$145$114 (top 5% from $212)80th percentile
D0120Medicaid service code$61K7%$4.65$26 (top 5% from $63)5th percentile
D0230Medicaid service code$40K5%$5.08$12 (top 5% from $28)18th percentile
D0150Medicaid service code$39K5%$11$35 (top 5% from $66)7th percentile
D1208Medicaid service code$38K5%$2.73$15 (top 5% from $28)4th percentile

In this area

338 providers in Clark County, NV carry an indicator in the public record, with $276.1M at stake between them. The most common is part of a provider network, on 167 of them, followed by more hours than a day holds on 152. 16 are tier 1: documented action, then payment.

tierproviderat stakewhy
1DEVONTE' CHRISTOPHER
North Las Vegas, NV, ranked 175
$59K
  • Listed on the AZ Medicaid exclusion list since September 1, 2024.
  • Medicaid still paid claims in 1 later month, $59,101 in total.
1MANE SHAH
Las Vegas, NV, ranked 205
$40K
  • Listed on the Medicare revocation list since August 16, 2018.
  • Medicaid still paid claims in 15 later months, $40,126 in total.
1JOHN MARIUS TOLENTINO
Las Vegas, NV, ranked 254
$16K
  • Listed on the CA Medicaid exclusion list since December 2, 2022.
  • Medicaid still paid claims in 5 later months, $16,415 in total.
1DAVID ADAMS
Las Vegas, NV, ranked 345
$3K
  • Listed on the CA Medicaid exclusion list since October 2, 2018.
  • Medicaid still paid claims in 2 later months, $3,216 in total.
1VICTOR BRUCE
Las Vegas, NV, ranked 361
$2K
  • Listed on the OIG exclusion list and the NY Medicaid exclusion list and the SAM.gov exclusion list (OPM) since December 20, 2015.
  • Medicaid still paid claims in 2 later months, $2,266 in total.
1AMARA MEDICAL CENTER LLC
Las Vegas, NV, ranked 457
$9
  • Listed on the Medicare revocation list since June 20, 2024.
  • Medicaid still paid claims in 2 later months, $9 in total.
1RODNESHIA CARTER
North Las Vegas, NV, ranked 479
$0
  • Adjudicated (sentenced) per a state attorney general release dated December 9, 2024.
  • No Medicaid payments in the last 12 observed months.
1REMEDY WELLNESS AND RESOURCE CENTER
Las Vegas, NV, ranked 483
$0
  • Adjudicated (sentenced) per a state attorney general release dated May 7, 2024.
  • No Medicaid payments in the last 12 observed months.
All 338 in NV

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.