COMPLETE DENTAL LLC SOS Verified
2625 S RAINBOW BLVD #D100, LAS VEGAS, NV 89146
NPI Number
1144596800
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: COMPLETE DENTAL, LLC
Entity Number: E0577552010-7
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2010-11-19
Status Changed: 2013-01-18
Name Match: 95%
Registered Agent
Name: NVRA SERVICES, INC.
Type: Commercial Registered Agent
Address: 120 HWY 50 STE 1, Dayton, NV, 89403
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | DIANE JIN | 1963 ALCOVA RIDGE DR, LAS VEGAS, NV, 89135 | Active |
| Mmember | JONG JIN | 2625 S. RAINBOW BL #D100, LAS VEGAS, NV, 89146 | Active |
Total Medicaid Payments
$152,819
-64% vs specialty average
Patients Seen
4,372
Total Claims
5,375
$ Per Patient
$35
Specialty avg: $36
Specialty Rank
#78 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.2
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2019 | $43,262 | |
| 2020 | $48,074 | |
| 2021 | $21,176 | |
| 2022 | $26,477 | |
| 2023 | $13,831 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| D7140 | Tooth extraction — pulling a tooth that has erupted | 1,071 | $40,674 | 26.6% | $38 |
| D0210 | Full set of dental X-rays | 709 | $38,485 | 25.2% | $54 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 744 | $23,465 | 15.4% | $32 |
| D0120 | Regular dental checkup and exam | 616 | $11,790 | 7.7% | $19 |
| D0220 | Single dental X-ray (of one tooth) | 895 | $11,574 | 7.6% | $13 |
| D1110 | Dental cleaning for adults (prophylaxis) | 521 | $11,293 | 7.4% | $22 |
| D1120 | Dental cleaning for children (prophylaxis) | 139 | $6,318 | 4.1% | $45 |
| D0274 | Dental X-ray — bitewings (four films) | 170 | $3,949 | 2.6% | $23 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 111 | $3,191 | 2.1% | $29 |
| D0230 | Additional dental X-ray | 367 | $2,080 | 1.4% | $6 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 32 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.