MODERN DENTAL SPECIALIST, LLC SOS Verified
4610 E SUNSET RD, HENDERSON, NV 89014
NPI Number
1407541337
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Specialist. LLC
Entity Number: E37966212024-9
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2024-02-01
Status Changed: 2024-02-01
Name Match: 85%
Registered Agent
Name: Registered Agents Inc * (N)
Type: Commercial Registered Agent
Address: 732 S 6TH ST, STE R, Las Vegas, NV, 89101
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Carolyn Land | 6311 Primrose Ave #19, Los Angeles, CA | Active |
| Mmember | Lillian Carrasquillo | 350 Cicadas Song Dr, Moncks Corner, SC | Active |
Campaign Contributions
$20Total Contributed
Officer / Individual Matches
LAND, CARLAPossible Match
Matched via officer: Carolyn Land (Mmember)
$20 across 2 contributions
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Total Medicaid Payments
$40,286
-24% vs specialty average
Patients Seen
1,414
Total Claims
1,552
$ Per Patient
$28
Specialty avg: $25
Specialty Rank
#3 of 6
Dentist, Endodontics providers in Nevada
Peer Average
$52,836
Average total for Dentist, Endodontics
Claims per Patient
1.1
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 |
|---|---|---|
| 2023 | $12,241 | |
| 2024 | $28,045 |
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 |
|---|---|---|---|---|---|
| D0210 | Full set of dental X-rays | 296 | $14,892 | 37.0% | $50 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 467 | $12,009 | 29.8% | $26 |
| D0220 | Single dental X-ray (of one tooth) | 246 | $2,884 | 7.2% | $12 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 84 | $2,846 | 7.1% | $34 |
| D0274 | Dental X-ray — bitewings (four films) | 127 | $2,758 | 6.8% | $22 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 65 | $1,399 | 3.5% | $22 |
| D0230 | Additional dental X-ray | 189 | $1,209 | 3.0% | $6 |
| D1110 | Dental cleaning for adults (prophylaxis) | 43 | $1,128 | 2.8% | $26 |
| D1120 | Dental cleaning for children (prophylaxis) | 18 | $691 | 1.7% | $38 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 17 | $473 | 1.2% | $28 |
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.