D PARK SDS PC SOS Verified
1811 S RAINBOW BLVD STE 101, LAS VEGAS, NV 89146
NPI Number
1467188847
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: D Park SDS PC
Entity Number: E24414212022-4
Entity Type: Domestic Professional Corporation
Entity Status: Active
Formation Date: 2022-07-05
Status Changed: 2022-07-05
Name Match: 95%
Registered Agent
Name: CARLA CERVANTES
Type: Non-Commercial Registered Agent
Address: 1314 CRYSTAL HILL LN #3, HENDERSON, NV, 89012
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Secretary | DAVID PARK | 1314 CRYSTAL HILL LN #3, HENDERSON, NV | Active |
| Treasurer | DAVID PARK | 1314 CRYSTAL HILL LN #3, HENDERSON, NV | Active |
| Director | DAVID PARK | 1314 CRYSTAL HILL LN #3, HENDERSON, NV | Active |
| President | DAVID PARK | 1314 CRYSTAL HILL LN #3, HENDERSON, NV | Active |
Campaign Contributions
$14,728Total Contributed
7Candidates Supported
Officer / Individual Matches
David ParkProbable Match
Matched via officer: DAVID PARK (Secretary)
$125 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Andy Eisen | State Assembly, District 21 | Democratic Party | $125 | 1 |
David ParkPossible Match
Matched via officer: DAVID PARK (Secretary)
$4,000 across 3 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Danny Tarkanian | Douglas County Commissioner, District 1 | Republican Party | $3,000 | 2 |
| Lawrence Walsh | Minden Town Advisory Board | Republican Party | $1,000 | 1 |
David ParkPossible Match
Matched via officer: DAVID PARK (Secretary)
$2,000 across 2 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Nathan Tolbert | Douglas County Commissioner, District 5 | Republican Party | $2,000 | 2 |
DAVID PARKPossible Match
Matched via officer: DAVID PARK (Secretary)
$2,603 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Danny Tarkanian | Douglas County Commissioner, District 1 | Republican Party | $2,603 | 1 |
PARK, DAVIDPossible Match
Matched via officer: DAVID PARK (Secretary)
$6,000 across 7 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| AMODEI, MARK EUGENE | U.S. House | REP | $140,000 | 175 |
| AMODEI, MARK EUGENE EUGENE | U.S. House | REP | $20,000 | 25 |
| TARKANIAN, DANNY | U.S. House | REP | $18,000 | 18 |
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
$332,453
-21% vs specialty average
Patients Seen
11,992
Total Claims
17,044
$ Per Patient
$28
Specialty avg: $36
Specialty Rank
#41 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
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 |
|---|---|---|
| 2022 | $66,023 | |
| 2023 | $180,868 | |
| 2024 | $85,562 |
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) | 1,646 | $52,853 | 15.9% | $32 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 1,889 | $48,424 | 14.6% | $26 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 1,893 | $36,031 | 10.8% | $19 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 1,410 | $35,173 | 10.6% | $25 |
| D0230 | Additional dental X-ray | 2,456 | $28,264 | 8.5% | $12 |
| D0210 | Full set of dental X-rays | 452 | $18,296 | 5.5% | $40 |
| D0120 | Regular dental checkup and exam | 1,034 | $16,419 | 4.9% | $16 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 574 | $15,743 | 4.7% | $27 |
| D0274 | Dental X-ray — bitewings (four films) | 777 | $14,180 | 4.3% | $18 |
| D0220 | Single dental X-ray (of one tooth) | 1,775 | $13,809 | 4.2% | $8 |
| D1110 | Dental cleaning for adults (prophylaxis) | 533 | $13,670 | 4.1% | $26 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 505 | $12,090 | 3.6% | $24 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 159 | $6,326 | 1.9% | $40 |
| D0272 | Dental X-ray — bitewings (two films) | 485 | $6,183 | 1.9% | $13 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 203 | $4,674 | 1.4% | $23 |
| D9223 | Other dental service | 28 | $3,266 | 1.0% | $117 |
| D2150 | Silver (amalgam) filling — two surfaces | 79 | $1,950 | 0.6% | $25 |
| D0145 | Oral evaluation for a patient under 3 years old | 98 | $1,358 | 0.4% | $14 |
| D2140 | Silver (amalgam) filling — one surface | 63 | $1,173 | 0.4% | $19 |
| D9222 | Other dental service | 26 | $1,026 | 0.3% | $39 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 22 | $863 | 0.3% | $39 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 36 | $443 | 0.1% | $12 |
| D0601 | Dental exam, X-ray, or screening | 179 | $142 | 0.0% | $1 |
| D0603 | Dental exam, X-ray, or screening | 113 | $54 | 0.0% | $0 |
| D0602 | Dental exam, X-ray, or screening | 57 | $27 | 0.0% | $0 |
| D9993 | Other dental service | 263 | $15 | 0.0% | $0 |
| D9986 | Other dental service | 171 | $0 | 0.0% | $0 |
| D9987 | Other dental service | 51 | $0 | 0.0% | $0 |
| D1310 | Dental preventive care (cleaning, fluoride, sealant) | 67 | $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.