IDEAL DENTAL LLC SOS Verified
2797 S MARYLAND PKWY STE 13, LAS VEGAS, NV 89109
NPI Number
1659151066
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Ideal Dental LLC
Entity Number: E32693462023-2
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2023-06-15
Status Changed: 2023-06-15
Name Match: 95%
Registered Agent
Name: CARLOS LAZARTE
Type: Non-Commercial Registered Agent
Address: 1901 S. EASTERN AVE, Las Vegas, NV, 89104
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | Abril Perez-Loyo | 1901 S Eastern Ave, Las Vegas, Nevada, NV | Active |
| Manager | Carlos Lazarte | 1901 S Eastern Ave, Las Vegas, Nevada, NV | Active |
Total Medicaid Payments
$2,402
-99% vs specialty average
Patients Seen
63
Total Claims
63
$ Per Patient
$38
Specialty avg: $36
Specialty Rank
#220 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.0
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 |
|---|---|---|
| 2024 | $2,402 |
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 | 24 | $1,389 | 57.8% | $58 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 39 | $1,013 | 42.2% | $26 |
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.