SALAR AND DELISLE LLC SOS Verified
75 MOUNT ROSE ST STE A, RENO, NV 89509
NPI Number
1275017337
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SALAR AND DELISLE LLC
Entity Number: E0363842015-9
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2015-07-30
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | BEHNAM SALAR | 2585 Manzanita Lane, Reno, NV | Active |
| Mmember | Kushboo Kumar | 325 S Higley Rd #130, Gilbert, AZ | Active |
Total Medicaid Payments
$127,537
-70% vs specialty average
Patients Seen
4,719
Total Claims
5,763
$ Per Patient
$27
Specialty avg: $36
Specialty Rank
#88 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 | $46,471 | |
| 2020 | $25,213 | |
| 2021 | $37,722 | |
| 2022 | $18,132 |
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) | 809 | $39,918 | 31.3% | $49 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 823 | $38,470 | 30.2% | $47 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 423 | $11,785 | 9.2% | $28 |
| D0220 | Single dental X-ray (of one tooth) | 990 | $10,911 | 8.6% | $11 |
| D0274 | Dental X-ray — bitewings (four films) | 440 | $8,026 | 6.3% | $18 |
| D0230 | Additional dental X-ray | 977 | $5,165 | 4.0% | $5 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 178 | $4,055 | 3.2% | $23 |
| D0120 | Regular dental checkup and exam | 112 | $3,251 | 2.5% | $29 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 23 | $1,273 | 1.0% | $55 |
| D0350 | Dental exam, X-ray, or screening | 665 | $1,230 | 1.0% | $2 |
| D0272 | Dental X-ray — bitewings (two films) | 50 | $1,039 | 0.8% | $21 |
| D0999 | Dental exam, X-ray, or screening | 30 | $900 | 0.7% | $30 |
| D0603 | Dental exam, X-ray, or screening | 198 | $870 | 0.7% | $4 |
| D9999 | Other dental service | 30 | $600 | 0.5% | $20 |
| D0602 | Dental exam, X-ray, or screening | 15 | $45 | 0.0% | $3 |
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.