C.W.
Hi,
My daughter has had a lot of dental work. Look at drpoulsen.com, although he is in Utah they may be able to refer someone in Nevada. He uses the best technology and I have been to 3 pediatric dentists who said to "put her under" for all the dental care. Its unneccessary and after you look at his website you'll understand there are other options than being put under for dental care on children or drugs to calm anxiety. He uses a laser for cavaties, He does NOT numb them and they don't need it because of the laser he uses. My 7 yr old girl goes back WILLINGLY by herself when they call her name. When they did numb her to pull her front teeth they used the "wand" which is regulated by a computer and is just a pinch, its looks like a pen, it numbs only the tooth NOT the mouth. Contact them for advice, they are awesome and I would look for some one comparable to him with the same technique.
They can usually work financially with you and some even have "care credit" which allows the dr to get paid and gives you a determined amount of time interest free to pay for services. Sometimes its 18 mo interest free.
Something to look into
I will never go back to a dentist who does not use these because it is unneccessary to be put under or get shots when this technology is available to us. The other dr's just haven't been taught this other way. or it is too expensive for them to carry in their clinic.