SALAR AND DELISLE LLC SOS Verified
1485 US HIGHWAY 395 N, GARDNERVILLE, NV 89410
NPI Number
1922467091
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SALAR AND DELISLE LLC
Entity Number: E0363842015-9
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2015-07-30
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | BEHNAM SALAR | 2585 Manzanita Lane, Reno, NV | Active |
| Mmember | Kushboo Kumar | 325 S Higley Rd #130, Gilbert, AZ | Active |
Total Medicaid Payments
$675,927
+90% vs specialty average
Patients Seen
20,564
Total Claims
25,575
$ Per Patient
$33
Specialty avg: $34
Specialty Rank
#26 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 | $87,381 | |
| 2019 | $121,146 | |
| 2020 | $101,605 | |
| 2021 | $139,336 | |
| 2022 | $105,513 | |
| 2023 | $103,056 | |
| 2024 | $17,890 |
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 | 3,600 | $186,360 | 27.6% | $52 |
| D1120 | Dental cleaning for children (prophylaxis) | 3,068 | $169,390 | 25.1% | $55 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 1,839 | $58,110 | 8.6% | $32 |
| D0120 | Regular dental checkup and exam | 1,535 | $49,012 | 7.3% | $32 |
| D0350 | Dental exam, X-ray, or screening | 4,529 | $46,207 | 6.8% | $10 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 1,680 | $36,321 | 5.4% | $22 |
| D0272 | Dental X-ray — bitewings (two films) | 1,554 | $31,564 | 4.7% | $20 |
| D0220 | Single dental X-ray (of one tooth) | 2,769 | $29,950 | 4.4% | $11 |
| D0274 | Dental X-ray — bitewings (four films) | 1,071 | $23,853 | 3.5% | $22 |
| D1110 | Dental cleaning for adults (prophylaxis) | 397 | $19,314 | 2.9% | $49 |
| D0230 | Additional dental X-ray | 2,987 | $17,153 | 2.5% | $6 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 406 | $4,468 | 0.7% | $11 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 87 | $2,593 | 0.4% | $30 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 20 | $1,107 | 0.2% | $55 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 33 | $525 | 0.1% | $16 |
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.