NEW IMAGE DENTAL SOS Verified
3885 S DECATUR BLVD STE 1100, LAS VEGAS, NV 89103
NPI Number
1497234645
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: New Image Dental of Nevada LLC
Entity Number: E49384672025-9
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2025-06-01
Status Changed: 2025-06-01
Name Match: 90%
Registered Agent
Name: New Image Dental LLC
Type: Non-Commercial Registered Agent
Address: 3885 S Decatur Blvd #1100, Las Vegas, NV, 89103
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | Beanca Samiano | 3885 S Decatur Blvd #1100, Las Vegas, NV | Active |
Total Medicaid Payments
$279,649
-44% vs specialty average
Patients Seen
10,244
Total Claims
11,837
$ Per Patient
$27
Specialty avg: $33
Specialty Rank
#12 of 36
Clinic/Center, Dental providers in Nevada
Peer Average
$498,808
Average total for Clinic/Center, Dental
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 | $84,878 | |
| 2020 | $54,845 | |
| 2021 | $55,350 | |
| 2022 | $34,263 | |
| 2023 | $31,983 | |
| 2024 | $18,330 |
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 | 1,268 | $65,310 | 23.4% | $52 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 1,429 | $42,731 | 15.3% | $30 |
| D1120 | Dental cleaning for children (prophylaxis) | 806 | $33,128 | 11.8% | $41 |
| D0120 | Regular dental checkup and exam | 1,237 | $24,185 | 8.6% | $20 |
| D0220 | Single dental X-ray (of one tooth) | 1,660 | $18,577 | 6.6% | $11 |
| D0274 | Dental X-ray — bitewings (four films) | 879 | $17,739 | 6.3% | $20 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 639 | $17,551 | 6.3% | $27 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 515 | $16,350 | 5.8% | $32 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 624 | $12,657 | 4.5% | $20 |
| D0230 | Additional dental X-ray | 1,746 | $10,795 | 3.9% | $6 |
| D1110 | Dental cleaning for adults (prophylaxis) | 435 | $8,294 | 3.0% | $19 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 184 | $7,626 | 2.7% | $41 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 243 | $2,273 | 0.8% | $9 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 52 | $836 | 0.3% | $16 |
| D0999 | Dental exam, X-ray, or screening | 23 | $690 | 0.2% | $30 |
| D9999 | Other dental service | 23 | $460 | 0.2% | $20 |
| D5899 | Dentures or removable dental prosthetics | 28 | $205 | 0.1% | $7 |
| D0601 | Dental exam, X-ray, or screening | 33 | $135 | 0.0% | $4 |
| D0270 | Dental X-ray — bitewing (single film, checks for cavities between teeth) | 13 | $106 | 0.0% | $8 |
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.