KID DENTAL, LLC
1101 W MOANA LN SUITE #4, RENO, NV 89509
NPI Number
1912206335
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$4,098,527
+877% vs specialty average
Patients Seen
124,922
Total Claims
174,287
$ Per Patient
$33
Specialty avg: $36
Specialty Rank
#4 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 | $66,742 | |
| 2019 | $1,427,129 | |
| 2020 | $1,112,221 | |
| 2021 | $1,102,626 | |
| 2022 | $389,809 |
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 |
|---|---|---|---|---|---|
| D1120 | Dental cleaning for children (prophylaxis) | 17,218 | $841,645 | 20.5% | $49 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 18,165 | $815,289 | 19.9% | $45 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 16,515 | $272,892 | 6.7% | $17 |
| D2150 | Silver (amalgam) filling — two surfaces | 4,161 | $265,922 | 6.5% | $64 |
| D0120 | Regular dental checkup and exam | 9,416 | $258,605 | 6.3% | $27 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 9,435 | $245,185 | 6.0% | $26 |
| D0272 | Dental X-ray — bitewings (two films) | 8,774 | $151,485 | 3.7% | $17 |
| D0220 | Single dental X-ray (of one tooth) | 11,805 | $145,986 | 3.6% | $12 |
| D0230 | Additional dental X-ray | 23,958 | $128,391 | 3.1% | $5 |
| D0274 | Dental X-ray — bitewings (four films) | 6,061 | $122,222 | 3.0% | $20 |
| D1354 | Interim caries arresting treatment — applying medicine to stop a cavity from growing | 11,300 | $103,225 | 2.5% | $9 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 7,042 | $97,793 | 2.4% | $14 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 1,699 | $93,347 | 2.3% | $55 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 2,365 | $90,168 | 2.2% | $38 |
| D2140 | Silver (amalgam) filling — one surface | 1,736 | $82,206 | 2.0% | $47 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 3,713 | $50,400 | 1.2% | $14 |
| D1110 | Dental cleaning for adults (prophylaxis) | 1,091 | $44,577 | 1.1% | $41 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 4,595 | $38,861 | 0.9% | $8 |
| D4346 | Gum disease treatment (periodontics) | 319 | $36,900 | 0.9% | $116 |
| D2160 | Silver (amalgam) filling — three surfaces | 306 | $27,710 | 0.7% | $91 |
| D2929 | Dental filling, crown, or restoration | 396 | $27,644 | 0.7% | $70 |
| D0603 | Dental exam, X-ray, or screening | 6,801 | $25,048 | 0.6% | $4 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 1,066 | $22,294 | 0.5% | $21 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 440 | $18,816 | 0.5% | $43 |
| D0999 | Dental exam, X-ray, or screening | 560 | $16,800 | 0.4% | $30 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 445 | $15,542 | 0.4% | $35 |
| D9223 | Other dental service | 421 | $15,137 | 0.4% | $36 |
| D9999 | Other dental service | 605 | $11,910 | 0.3% | $20 |
| D3220 | Pulp treatment for a baby tooth — removing infection from inside the tooth | 209 | $7,134 | 0.2% | $34 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 190 | $6,285 | 0.2% | $33 |
| D0210 | Full set of dental X-rays | 116 | $6,071 | 0.1% | $52 |
| D9222 | Other dental service | 305 | $4,530 | 0.1% | $15 |
| D9420 | Hospital dental care — using the hospital for dental treatment (per hour) | 162 | $2,295 | 0.1% | $14 |
| D0145 | Oral evaluation for a patient under 3 years old | 100 | $1,988 | 0.0% | $20 |
| D9310 | Dental consultation — specialist opinion on a dental problem | 22 | $922 | 0.0% | $42 |
| D0170 | Dental exam, X-ray, or screening | 43 | $774 | 0.0% | $18 |
| D2393 | Tooth-colored (resin) filling — three surfaces, back tooth | 15 | $636 | 0.0% | $42 |
| D0350 | Dental exam, X-ray, or screening | 590 | $574 | 0.0% | $1 |
| D9630 | Other dental service | 508 | $368 | 0.0% | $1 |
| D3120 | Root canal or dental pulp treatment | 44 | $328 | 0.0% | $7 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 922 | $285 | 0.0% | $0 |
| D9993 | Other dental service | 438 | $195 | 0.0% | $0 |
| D9215 | Local anesthesia (numbing injection for dental work) | 163 | $141 | 0.0% | $1 |
| D4921 | Gum disease treatment (periodontics) | 52 | $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.