KID DENTAL CARSON CITY LLC
314 W FIFTH ST, CARSON CITY, NV 89703
NPI Number
1679139257
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$848,830
+138% vs specialty average
Patients Seen
27,595
Total Claims
39,109
$ Per Patient
$31
Specialty avg: $34
Specialty Rank
#20 of 180
Dentist providers in Nevada
Peer Average
$355,999
Average total for Dentist
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 |
|---|---|---|
| 2019 | $107,353 | |
| 2020 | $358,326 | |
| 2021 | $346,449 | |
| 2022 | $36,702 |
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 |
|---|---|---|---|---|---|
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 3,646 | $145,750 | 17.2% | $40 |
| D1120 | Dental cleaning for children (prophylaxis) | 2,782 | $118,821 | 14.0% | $43 |
| D2150 | Silver (amalgam) filling — two surfaces | 1,393 | $110,282 | 13.0% | $79 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 2,865 | $55,192 | 6.5% | $19 |
| D0274 | Dental X-ray — bitewings (four films) | 2,747 | $49,730 | 5.9% | $18 |
| D0120 | Regular dental checkup and exam | 1,743 | $45,260 | 5.3% | $26 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 1,658 | $41,037 | 4.8% | $25 |
| D1354 | Interim caries arresting treatment — applying medicine to stop a cavity from growing | 3,230 | $35,960 | 4.2% | $11 |
| D1110 | Dental cleaning for adults (prophylaxis) | 842 | $33,572 | 4.0% | $40 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 1,650 | $26,556 | 3.1% | $16 |
| D0220 | Single dental X-ray (of one tooth) | 2,719 | $25,717 | 3.0% | $9 |
| D2160 | Silver (amalgam) filling — three surfaces | 219 | $20,838 | 2.5% | $95 |
| D0230 | Additional dental X-ray | 4,564 | $20,767 | 2.4% | $5 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 864 | $20,426 | 2.4% | $24 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 1,472 | $17,187 | 2.0% | $12 |
| D2140 | Silver (amalgam) filling — one surface | 293 | $16,500 | 1.9% | $56 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 456 | $12,797 | 1.5% | $28 |
| D9991 | Other dental service | 1,176 | $10,803 | 1.3% | $9 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 1,314 | $10,383 | 1.2% | $8 |
| D9215 | Local anesthesia (numbing injection for dental work) | 1,827 | $9,742 | 1.1% | $5 |
| D0272 | Dental X-ray — bitewings (two films) | 408 | $6,130 | 0.7% | $15 |
| D4346 | Gum disease treatment (periodontics) | 61 | $6,088 | 0.7% | $100 |
| D3120 | Root canal or dental pulp treatment | 189 | $3,116 | 0.4% | $16 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 75 | $2,705 | 0.3% | $36 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 39 | $1,439 | 0.2% | $37 |
| D7111 | Extraction — pulling a baby tooth that's already loose | 33 | $1,271 | 0.1% | $39 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 18 | $689 | 0.1% | $38 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 156 | $71 | 0.0% | $0 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 670 | $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.