KOHSIU KU DDS INC SOS Verified
4045 S EASTERN AVE, LAS VEGAS, NV 89119
NPI Number
1194907386
Practice location · View on Google Maps
SOS Verification: Verified
No SOS Registration
Research Report
Operates as: Kohsiu Ku, D.D.S. Inc., A Professional Company (Corp ID: 775429, Active)
NPI billing name matches Active SOS entity KOHSIU KU, D.D.S. INC., A PROFESSIONAL COMPANY (Corp ID: 775429, Active, E0359812007-0). Operates as Smile Haven Family Dentistry at 4045 S Eastern Ave, Las Vegas. Listed on CareCredit, WebMD, Healthgrades. Accepts Medicaid. No disciplinary history.
Confirmed DBA
Total Medicaid Payments
$69,116
-81% vs specialty average
Patients Seen
3,642
Total Claims
3,824
$ Per Patient
$19
Specialty avg: $34
Specialty Rank
#88 of 180
Dentist providers in Nevada
Peer Average
$355,999
Average total for Dentist
Claims per Patient
1.0
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 | $30,692 | |
| 2020 | $12,302 | |
| 2021 | $16,892 | |
| 2022 | $9,230 |
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 |
|---|---|---|---|---|---|
| D1120 | Dental cleaning for children (prophylaxis) | 470 | $20,963 | 30.3% | $45 |
| D0120 | Regular dental checkup and exam | 485 | $11,302 | 16.4% | $23 |
| D0220 | Single dental X-ray (of one tooth) | 864 | $10,355 | 15.0% | $12 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 679 | $6,703 | 9.7% | $10 |
| D0274 | Dental X-ray — bitewings (four films) | 230 | $5,023 | 7.3% | $22 |
| D0230 | Additional dental X-ray | 759 | $4,992 | 7.2% | $7 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 133 | $4,188 | 6.1% | $31 |
| D0272 | Dental X-ray — bitewings (two films) | 94 | $1,635 | 2.4% | $17 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 37 | $1,406 | 2.0% | $38 |
| D1110 | Dental cleaning for adults (prophylaxis) | 27 | $998 | 1.4% | $37 |
| D0210 | Full set of dental X-rays | 12 | $648 | 0.9% | $54 |
| D0999 | Dental exam, X-ray, or screening | 19 | $570 | 0.8% | $30 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 15 | $332 | 0.5% | $22 |
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.