SALAR AND DELISLE LLC SOS Verified
5055 SUN VALLEY BLVD STE 350, SUN VALLEY, NV 89433
NPI Number
1427552066
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
$274,773
-78% vs specialty average
Patients Seen
9,872
Total Claims
12,206
$ Per Patient
$28
Specialty avg: $40
Specialty Rank
#46 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
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 | $63,427 | |
| 2020 | $41,697 | |
| 2021 | $81,252 | |
| 2022 | $65,304 | |
| 2023 | $23,093 |
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) | 1,731 | $83,110 | 30.2% | $48 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 1,746 | $77,275 | 28.1% | $44 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 959 | $26,035 | 9.5% | $27 |
| D0220 | Single dental X-ray (of one tooth) | 1,659 | $18,213 | 6.6% | $11 |
| D0120 | Regular dental checkup and exam | 521 | $14,368 | 5.2% | $28 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 733 | $14,236 | 5.2% | $19 |
| D0274 | Dental X-ray — bitewings (four films) | 491 | $9,646 | 3.5% | $20 |
| D0230 | Additional dental X-ray | 1,891 | $9,601 | 3.5% | $5 |
| D0272 | Dental X-ray — bitewings (two films) | 446 | $8,176 | 3.0% | $18 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 206 | $5,717 | 2.1% | $28 |
| D0999 | Dental exam, X-ray, or screening | 91 | $2,730 | 1.0% | $30 |
| D0603 | Dental exam, X-ray, or screening | 567 | $2,435 | 0.9% | $4 |
| D9999 | Other dental service | 112 | $1,990 | 0.7% | $18 |
| D0350 | Dental exam, X-ray, or screening | 990 | $554 | 0.2% | $1 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 25 | $375 | 0.1% | $15 |
| D0145 | Oral evaluation for a patient under 3 years old | 12 | $246 | 0.1% | $20 |
| D0602 | Dental exam, X-ray, or screening | 26 | $65 | 0.0% | $2 |
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.