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FIRST DENTISTS LLC SOS Verified

Dentist · LAS VEGAS, NV

4416 E BONANZA RD SUITE 120, LAS VEGAS, NV 89110

NPI Number
1861839284
Street View of 4416 E BONANZA RD SUITE 120, LAS VEGAS, NV 89110

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: FIRST DENTISTS L.L.C.
Entity Number: E0025122013-2
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2013-01-17
Name Match: 95%
Registered Agent
Name: CHI RHA
Type: Non-Commercial Registered Agent
Address: 72 WILDWING CT, LAS VEGAS, NV, 89135
Officers / Principals
TitleNameAddressStatus
ManagerCHI RHA72 WILDWING CT, LAS VEGAS, NV, 89135Active
Total Medicaid Payments
$2,082,240
+485% vs specialty average
Patients Seen
67,188
Total Claims
80,188
$ Per Patient
$31
Specialty avg: $34
Specialty Rank
#9 of 180
Dentist providers in Nevada
Peer Average
$355,999
Average total for Dentist
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
2018$7,315
2019$447,365
2020$373,125
2021$399,685
2022$313,962
2023$303,825
2024$236,963

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
D1120Dental cleaning for children (prophylaxis)9,378$421,740
20.3%
$45
D1351Dental sealant — protective coating on a tooth to prevent cavities12,499$287,051
13.8%
$23
D1206Fluoride treatment — painted on teeth to prevent cavities5,613$201,843
9.7%
$36
D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth6,012$195,763
9.4%
$33
D0330Panoramic dental X-ray (full view of all teeth and jaw)4,332$173,979
8.4%
$40
D0274Dental X-ray — bitewings (four films)6,829$159,315
7.7%
$23
D0140Limited dental exam — for a specific problem (like a toothache)3,431$112,431
5.4%
$33
D0220Single dental X-ray (of one tooth)7,558$104,500
5.0%
$14
D0120Regular dental checkup and exam4,228$103,826
5.0%
$25
D2150Silver (amalgam) filling — two surfaces1,243$80,010
3.8%
$64
D0230Additional dental X-ray9,639$78,161
3.8%
$8
D0272Dental X-ray — bitewings (two films)2,487$44,503
2.1%
$18
D1208Dental preventive care (cleaning, fluoride, sealant)3,917$39,495
1.9%
$10
D7140Tooth extraction — pulling a tooth that has erupted376$15,914
0.8%
$42
D1353Dental preventive care (cleaning, fluoride, sealant)961$15,580
0.7%
$16
D2140Silver (amalgam) filling — one surface282$14,044
0.7%
$50
D0999Dental exam, X-ray, or screening407$12,210
0.6%
$30
D1110Dental cleaning for adults (prophylaxis)397$9,485
0.5%
$24
D9999Other dental service431$8,570
0.4%
$20
D1999Dental preventive care (cleaning, fluoride, sealant)141$2,040
0.1%
$14
D2160Silver (amalgam) filling — three surfaces13$967
0.0%
$74
D2392Tooth-colored (resin) filling — two surfaces, back tooth14$813
0.0%
$58

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.