MODERN DENTAL SPECIALIST, LLC SOS Verified
6388 W SAHARA AVE, LAS VEGAS, NV 89146
NPI Number
1962197897
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Specialist. LLC
Entity Number: E37966212024-9
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2024-02-01
Status Changed: 2024-02-01
Name Match: 85%
Registered Agent
Name: Registered Agents Inc * (N)
Type: Commercial Registered Agent
Address: 732 S 6TH ST, STE R, Las Vegas, NV, 89101
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Carolyn Land | 6311 Primrose Ave #19, Los Angeles, CA | Active |
| Mmember | Lillian Carrasquillo | 350 Cicadas Song Dr, Moncks Corner, SC | Active |
Total Medicaid Payments
$149,951
+184% vs specialty average
Patients Seen
6,020
Total Claims
7,131
$ Per Patient
$25
Specialty avg: $25
Specialty Rank
#1 of 6
Dentist, Endodontics providers in Nevada
Peer Average
$52,836
Average total for Dentist, Endodontics
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 |
|---|---|---|
| 2023 | $28,627 | |
| 2024 | $121,325 |
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 |
|---|---|---|---|---|---|
| D0274 | Dental X-ray — bitewings (four films) | 981 | $21,557 | 14.4% | $22 |
| D1120 | Dental cleaning for children (prophylaxis) | 504 | $21,079 | 14.1% | $42 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 534 | $17,486 | 11.7% | $33 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 421 | $15,075 | 10.1% | $36 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 505 | $13,986 | 9.3% | $28 |
| D0220 | Single dental X-ray (of one tooth) | 1,231 | $13,534 | 9.0% | $11 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 495 | $10,568 | 7.0% | $21 |
| D0230 | Additional dental X-ray | 1,670 | $9,597 | 6.4% | $6 |
| D0120 | Regular dental checkup and exam | 311 | $7,456 | 5.0% | $24 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 199 | $6,501 | 4.3% | $33 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 90 | $4,885 | 3.3% | $54 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 62 | $4,118 | 2.7% | $66 |
| D8660 | Braces or orthodontic treatment | 57 | $2,167 | 1.4% | $38 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 33 | $969 | 0.6% | $29 |
| D0340 | Dental exam, X-ray, or screening | 12 | $516 | 0.3% | $43 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 13 | $232 | 0.2% | $18 |
| D0272 | Dental X-ray — bitewings (two films) | 13 | $224 | 0.1% | $17 |
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.