AC DENTAL LLC SOS Verified
1520 N EASTERN AVE SUITE 105, LAS VEGAS, NV 89101
NPI Number
1295766160
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: AC DENTAL LLC
Entity Number: LLC10616-2003
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2003-07-18
Status Changed: 2025-08-01
Name Match: 95%
Registered Agent
Name: Dominic Do
Type: Non-Commercial Registered Agent
Address: 3125 E. Tropicana, # C, Las Vegas, NV, 89121
Mailing: 3125 E. Tropicana ave, # C, Las Vegas, NV
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | DOMINIC DO | 1520 N EASTERN AVE, STE 105, Las Vegas, NV | Active |
| Mmember | domininic do | 3125 e tropicana, Las Vegas, NV | Active |
Total Medicaid Payments
$249,430
-41% vs specialty average
Patients Seen
8,284
Total Claims
12,998
$ Per Patient
$30
Specialty avg: $36
Specialty Rank
#51 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.6
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 | $1,325 | |
| 2019 | $169,020 | |
| 2020 | $57,094 | |
| 2021 | $21,991 | |
| 2022 | $0 |
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 |
|---|---|---|---|---|---|
| D2150 | Silver (amalgam) filling — two surfaces | 1,168 | $48,418 | 19.4% | $41 |
| D2140 | Silver (amalgam) filling — one surface | 776 | $32,038 | 12.8% | $41 |
| D1120 | Dental cleaning for children (prophylaxis) | 895 | $27,405 | 11.0% | $31 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 708 | $21,016 | 8.4% | $30 |
| D7111 | Extraction — pulling a baby tooth that's already loose | 686 | $19,902 | 8.0% | $29 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 669 | $17,363 | 7.0% | $26 |
| D0274 | Dental X-ray — bitewings (four films) | 965 | $16,807 | 6.7% | $17 |
| D0230 | Additional dental X-ray | 2,798 | $13,692 | 5.5% | $5 |
| D0220 | Single dental X-ray (of one tooth) | 1,892 | $13,047 | 5.2% | $7 |
| D0120 | Regular dental checkup and exam | 983 | $13,030 | 5.2% | $13 |
| D0210 | Full set of dental X-rays | 243 | $12,118 | 4.9% | $50 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 295 | $6,980 | 2.8% | $24 |
| D1110 | Dental cleaning for adults (prophylaxis) | 86 | $2,845 | 1.1% | $33 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 56 | $1,367 | 0.5% | $24 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 271 | $1,187 | 0.5% | $4 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 50 | $750 | 0.3% | $15 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 22 | $553 | 0.2% | $25 |
| D9999 | Other dental service | 47 | $470 | 0.2% | $10 |
| D0272 | Dental X-ray — bitewings (two films) | 26 | $180 | 0.1% | $7 |
| D1352 | Dental preventive care (cleaning, fluoride, sealant) | 86 | $113 | 0.0% | $1 |
| D0601 | Dental exam, X-ray, or screening | 27 | $65 | 0.0% | $2 |
| D0415 | Dental exam, X-ray, or screening | 84 | $56 | 0.0% | $1 |
| D0460 | Dental exam, X-ray, or screening | 65 | $20 | 0.0% | $0 |
| D0602 | Dental exam, X-ray, or screening | 16 | $5 | 0.0% | $0 |
| D0425 | Dental exam, X-ray, or screening | 84 | $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.