SOUTHERN NEVADA SPECIALTY PRADA, PLLC SOS Verified
8380 W CHEYENNE AVE #104, LAS VEGAS, NV 89129
NPI Number
1275998270
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SOUTHERN NEVADA SPECIALTY PRADA, PLLC
Entity Number: E0553002015-9
Entity Type: Domestic Professional LLC (89)
Entity Status: Active
Formation Date: 2015-11-24
Name Match: 100%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701, USA
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Managing Member | 242 Elder View Drive, Las Vegas, NV, 89138, USA | Active |
Total Medicaid Payments
$35,434,535
+2773% vs specialty average
Patients Seen
625,478
Total Claims
871,167
$ Per Patient
$57
Specialty avg: $40
Specialty Rank
#1 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
Claims per Patient
1.4
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 |
|---|---|---|
| 2018 | $1,109,805 | |
| 2019 | $1,123,597 | |
| 2020 | $713,994 | |
| 2021 | $2,403,135 | |
| 2022 | $7,597,005 | |
| 2023 | $11,302,936 | |
| 2024 | $11,184,062 |
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 |
|---|---|---|---|---|---|
| D8080 | Full braces (comprehensive orthodontic treatment, adolescent) | 3,309 | $7,198,836 | 20.3% | $2,176 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 49,694 | $3,257,993 | 9.2% | $66 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 58,297 | $2,556,145 | 7.2% | $44 |
| D1120 | Dental cleaning for children (prophylaxis) | 41,392 | $2,034,650 | 5.7% | $49 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 87,621 | $2,014,827 | 5.7% | $23 |
| D0120 | Regular dental checkup and exam | 37,490 | $1,464,996 | 4.1% | $39 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 39,451 | $1,384,541 | 3.9% | $35 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 43,423 | $1,200,474 | 3.4% | $28 |
| D0210 | Full set of dental X-rays | 22,302 | $1,164,581 | 3.3% | $52 |
| D8660 | Braces or orthodontic treatment | 29,853 | $1,143,638 | 3.2% | $38 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 19,757 | $1,048,658 | 3.0% | $53 |
| D8020 | Braces or orthodontic treatment | 944 | $914,082 | 2.6% | $968 |
| D9310 | Dental consultation — specialist opinion on a dental problem | 18,273 | $893,780 | 2.5% | $49 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 18,696 | $792,760 | 2.2% | $42 |
| D0230 | Additional dental X-ray | 110,395 | $702,602 | 2.0% | $6 |
| D0220 | Single dental X-ray (of one tooth) | 45,868 | $671,044 | 1.9% | $15 |
| D7240 | Removal of an impacted tooth — completely bony (deeply stuck in jawbone) | 4,549 | $614,265 | 1.7% | $135 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 7,948 | $611,099 | 1.7% | $77 |
| D0274 | Dental X-ray — bitewings (four films) | 26,462 | $598,464 | 1.7% | $23 |
| D9223 | Other dental service | 11,825 | $586,583 | 1.7% | $50 |
| D7220 | Removal of an impacted tooth — soft tissue (stuck under the gums) | 4,488 | $488,258 | 1.4% | $109 |
| D1110 | Dental cleaning for adults (prophylaxis) | 10,726 | $453,882 | 1.3% | $42 |
| D9222 | Other dental service | 8,959 | $439,334 | 1.2% | $49 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 12,245 | $400,406 | 1.1% | $33 |
| D0272 | Dental X-ray — bitewings (two films) | 16,659 | $303,851 | 0.9% | $18 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 6,682 | $275,772 | 0.8% | $41 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 13,960 | $247,023 | 0.7% | $18 |
| D7310 | Tooth extraction or oral surgery | 3,242 | $225,656 | 0.6% | $70 |
| D0340 | Dental exam, X-ray, or screening | 6,699 | $212,618 | 0.6% | $32 |
| D7230 | Removal of an impacted tooth — partially bony (stuck in the jawbone) | 1,888 | $210,619 | 0.6% | $112 |
| D2740 | Crown (cap) — porcelain or ceramic | 562 | $208,889 | 0.6% | $372 |
| D0350 | Dental exam, X-ray, or screening | 14,763 | $188,918 | 0.5% | $13 |
| D9999 | Other dental service | 2,478 | $137,110 | 0.4% | $55 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 8,372 | $129,928 | 0.4% | $16 |
| D0470 | Dental exam, X-ray, or screening | 6,704 | $128,618 | 0.4% | $19 |
| D2393 | Tooth-colored (resin) filling — three surfaces, back tooth | 1,828 | $108,571 | 0.3% | $59 |
| D7311 | Tooth extraction or oral surgery | 825 | $57,112 | 0.2% | $69 |
| D2950 | Crown buildup — rebuilding a broken tooth so a crown can be placed | 524 | $41,103 | 0.1% | $78 |
| D0999 | Dental exam, X-ray, or screening | 1,266 | $38,840 | 0.1% | $31 |
| D9248 | Other dental service | 409 | $37,137 | 0.1% | $91 |
| D3220 | Pulp treatment for a baby tooth — removing infection from inside the tooth | 606 | $32,524 | 0.1% | $54 |
| D9612 | Other dental service | 1,226 | $30,984 | 0.1% | $25 |
| D2929 | Dental filling, crown, or restoration | 198 | $25,178 | 0.1% | $127 |
| D3330 | Root canal — molar tooth | 71 | $22,303 | 0.1% | $314 |
| D9420 | Hospital dental care — using the hospital for dental treatment (per hour) | 550 | $21,163 | 0.1% | $38 |
| D0145 | Oral evaluation for a patient under 3 years old | 1,059 | $20,696 | 0.1% | $20 |
| D4346 | Gum disease treatment (periodontics) | 467 | $19,030 | 0.1% | $41 |
| D0190 | Dental exam, X-ray, or screening | 23,547 | $17,033 | 0.0% | $1 |
| D0270 | Dental X-ray — bitewing (single film, checks for cavities between teeth) | 1,666 | $15,712 | 0.0% | $9 |
| D0603 | Dental exam, X-ray, or screening | 8,890 | $8,376 | 0.0% | $1 |
| D3230 | Root canal or dental pulp treatment | 69 | $6,875 | 0.0% | $100 |
| D3120 | Root canal or dental pulp treatment | 364 | $6,604 | 0.0% | $18 |
| D0602 | Dental exam, X-ray, or screening | 5,518 | $5,015 | 0.0% | $1 |
| D2330 | Tooth-colored (resin) filling — one surface, front tooth | 42 | $2,486 | 0.0% | $59 |
| D1354 | Interim caries arresting treatment — applying medicine to stop a cavity from growing | 214 | $2,420 | 0.0% | $11 |
| D2335 | Tooth-colored (resin) filling — four or more surfaces, front tooth | 21 | $1,980 | 0.0% | $94 |
| D0601 | Dental exam, X-ray, or screening | 1,975 | $1,601 | 0.0% | $1 |
| D5899 | Dentures or removable dental prosthetics | 112 | $1,596 | 0.0% | $14 |
| D2332 | Tooth-colored (resin) filling — three surfaces, front tooth | 17 | $1,482 | 0.0% | $87 |
| D2150 | Silver (amalgam) filling — two surfaces | 19 | $1,235 | 0.0% | $65 |
| D7510 | Drainage of an abscess in the mouth (intraoral) | 15 | $1,230 | 0.0% | $82 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 31 | $749 | 0.0% | $24 |
| D0160 | Dental exam, X-ray, or screening | 13 | $325 | 0.0% | $25 |
| D9951 | Other dental service | 12 | $140 | 0.0% | $12 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 13 | $133 | 0.0% | $10 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 23,624 | $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.