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KID DENTAL LLC

Dentist, General Practice · SPARKS, NV

1301 N MCCARRAN BLVD STE 104, SPARKS, NV 89431

NPI Number
1518355395
Street View of 1301 N MCCARRAN BLVD STE 104, SPARKS, NV 89431

Practice location · View on Google Maps

SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$1,644,555
+292% vs specialty average
Patients Seen
52,052
Total Claims
72,914
$ Per Patient
$32
Specialty avg: $36
Specialty Rank
#11 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
2018$4,935
2019$313,114
2020$508,019
2021$631,185
2022$187,302

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
D1206Fluoride treatment — painted on teeth to prevent cavities7,385$328,877
20.0%
$45
D1120Dental cleaning for children (prophylaxis)6,867$327,384
19.9%
$48
D1351Dental sealant — protective coating on a tooth to prevent cavities7,039$125,525
7.6%
$18
D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth3,736$102,148
6.2%
$27
D0120Regular dental checkup and exam3,732$100,195
6.1%
$27
D2150Silver (amalgam) filling — two surfaces1,165$76,967
4.7%
$66
D0272Dental X-ray — bitewings (two films)3,596$63,657
3.9%
$18
D0220Single dental X-ray (of one tooth)5,083$58,031
3.5%
$11
D1354Interim caries arresting treatment — applying medicine to stop a cavity from growing5,747$56,789
3.5%
$10
D0230Additional dental X-ray9,084$51,170
3.1%
$6
D1353Dental preventive care (cleaning, fluoride, sealant)3,621$49,897
3.0%
$14
D0330Panoramic dental X-ray (full view of all teeth and jaw)1,672$49,688
3.0%
$30
D0274Dental X-ray — bitewings (four films)2,433$47,902
2.9%
$20
D9230Analgesia (pain management during dental work, like nitrous oxide/laughing gas)2,601$38,255
2.3%
$15
D1110Dental cleaning for adults (prophylaxis)592$24,955
1.5%
$42
D2140Silver (amalgam) filling — one surface461$24,765
1.5%
$54
D4346Gum disease treatment (periodontics)183$21,771
1.3%
$119
D2930Stainless steel crown — prefabricated (primary tooth)289$20,957
1.3%
$73
D0603Dental exam, X-ray, or screening3,540$12,882
0.8%
$4
D1208Dental preventive care (cleaning, fluoride, sealant)1,624$11,300
0.7%
$7
D9310Dental consultation — specialist opinion on a dental problem168$10,074
0.6%
$60
D2392Tooth-colored (resin) filling — two surfaces, back tooth190$8,633
0.5%
$45
D0999Dental exam, X-ray, or screening246$7,440
0.5%
$30
D9999Other dental service321$5,770
0.4%
$18
D0140Limited dental exam — for a specific problem (like a toothache)215$5,292
0.3%
$25
D2929Dental filling, crown, or restoration45$4,551
0.3%
$101
D9420Hospital dental care — using the hospital for dental treatment (per hour)70$2,304
0.1%
$33
D2391Tooth-colored (resin) filling — one surface, back tooth66$2,152
0.1%
$33
D0145Oral evaluation for a patient under 3 years old82$1,558
0.1%
$19
D7140Tooth extraction — pulling a tooth that has erupted36$1,398
0.1%
$39
D7111Extraction — pulling a baby tooth that's already loose30$1,230
0.1%
$41
D1999Dental preventive care (cleaning, fluoride, sealant)716$945
0.1%
$1
D9993Other dental service279$92
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.