Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nevada (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Southern Nevada Specialty Prada, PLLC (NPI 1275998270)

Field	Value
Entity Type	Organization
Organization	Southern Nevada Specialty Prada, PLLC
Address	8380 W Cheyenne Ave
City	Las Vegas
State	NV
ZIP	89129
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 18, 2015

Payer Source	Total Paid
Medicaid	$35.5M
Medicare	$0

Key Findings

This practice is effectively a Medicaid-focused pediatric dental provider: there is no Medicare billing on file and lifetime Medicaid revenue totals $35.5M, indicating a single-payer footprint concentrated in Medicaid rather than a mixed Medicare/Medicaid operation. The NPI has been enumerated since 2015-12-18 (~11 years ago), showing roughly a decade of claims activity to build this payer-specific volume.

Revenue is highly concentrated in a small set of codes: the top three Medicaid codes account for 39.6% of this provider’s total Medicaid revenue. The single largest code is D8080 ($7.2M, 3.3K claims, $2176 avg paid/claim) which alone represents 21.9% of Medicaid revenue, followed by D7210 ($3.3M, 49.7K claims, $66 avg paid/claim) and D1206 ($2.6M, 58.3K claims, $44 avg paid/claim).

The code mix and descriptions point to a high-volume pediatric dentistry model emphasizing preventive care and frequent minor procedures: large claim counts for preventive and routine pediatric services such as D1206 (Topical Fluoride Treatment, 58.3K claims), D1120 (Prophylaxis–child, 41.4K claims) and D1351 (Sealant - per tooth, 87.6K claims) indicate sustained preventive throughput. At the same time substantial revenue in extraction-related codes like D7210 (Extraction requiring sectioning, 49.7K claims) and D7140 (simple extraction, 18.7K claims) suggests the clinic performs a high volume of operative procedures in addition to prevention.

State-level competitive standing is dominant for many high-revenue codes: the provider ranks #1 of 21 for D8080 (100th percentile, extreme outlier) and holds #1 or top-percentile ranks for multiple other codes (for example, D0330 and D8660 at 100th percentile). Several high-volume diagnostic and preventive codes (D1206, D1120, D1351, D0120, D0150, D0210) are listed as extreme outliers or at the 100th percentile versus in-state peers, characterizing this entity as a major statewide player for pediatric dental services.

Specific diagnostic and imaging volume is exceptionally large relative to peers, reflecting high patient throughput and imaging-heavy workflows: D0230 shows 110.4K claims and D0220 has 45.9K claims, while D0210 reports 22.3K claims. These imaging codes contribute meaningfully to revenue (e.g., D0210 $1.2M) and rank at or near the top statewide, reinforcing the view of high visit frequency and extensive use of radiography.

Several restorative and operative codes also appear at or near top state ranks, indicating a broad service mix beyond prevention: D2392 (Post 2 surface composite, $1M), D2930 ($612K) and D7240 ($614.1K) are all in notably high percentiles for Nevada. These entries show the provider combines preventive, diagnostic, restorative and extraction services at scale rather than specializing narrowly in a single procedure type.

The provider’s dominant positions in many codes are explicitly labeled as “extreme outlier” or “notably above typical state volume,” which signals volumes that are far above typical in-state peers for those specific codes. Examples include D7210 (99th percentile; extreme outlier), D1206 (100th percentile; extreme outlier), and D1120 (100th percentile; extreme outlier), underscoring that multiple service lines run at unusually high volume compared with Nevada peers.

From a payer-analytics perspective, the combination of very high claim counts across preventive (D1206, D1351, D1120), diagnostic (D0230, D0210, D0220) and extraction codes (D7210, D7140) suggests operational priorities and capacity for high pediatric patient throughput and procedure turnover. Given the $35.5M Medicaid revenue base and the concentration of 39.6% of revenue in the top three codes, analysts should treat this provider as a major Medicaid delivery site for pediatric dental services in Nevada and prioritize it for further network, utilization, and contracting review for Medicaid programs.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8080	N/A	3,310	$2,180	$7.2M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	49,690	$70	$3.3M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	58,300	$40	$2.6M
D1120	Prophylaxis–child	41,390	$50	$2M
D1351	Sealant - per tooth	87,620	$20	$2M
D0120	Periodic oral evaluation - established patient	37,490	$40	$1.5M
D0150	Comprehensive oral evaluation – new or established patient	39,450	$40	$1.4M
D0330	N/A	43,420	$30	$1.2M
D0210	Intraoral - complete series of radiographic images	22,300	$50	$1.2M
D8660	N/A	29,850	$40	$1.1M

Showing 1–10 of 66

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nevada Distribution

Southern Nevada Specialty Prada, PLLC — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	1	20	130	$2,260	$724.3K
D8020	N/A	1	10	50	$990	$334.2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	2	150	270	$70	$141.3K
D7240	N/A	4	30	190	$130	$136.4K
D2929	N/A	6	10	210	$120	$122.4K
D2930	N/A	5	100	560	$70	$110.6K
D7510	N/A	4	10	20	$70	$107.9K
D9223	N/A	3	40	390	$50	$97.8K
D1120	Prophylaxis–child	2	490	460	$40	$96.4K
D7220	N/A	1	20	160	$110	$94.5K

Showing 1–10 of 66

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southern Nevada Specialty Prada, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Nevada General Dentistry Prada, PLLC	NV	General Practice Dentistry	$0	$38.4M
Northern Nevada Specialty Prada, PLLC	NV	Pediatric Dentistry	$0	$8.2M

Nearby Providers

Other providers in the same ZIP code as Southern Nevada Specialty Prada, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Dubin	NV	Family Medicine Physician	$33.2M	$0
Everyday Miracles	NV	Attendant Care Provider	$0	$10.8M
Sherman Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.3M
Carla Lalande Dmd Msd PC	NV	Dental Clinic/Center	$0	$4.9M
Healing Touch Home Care LLC	NV	In Home Supportive Care Agency	$0	$4.1M
Frontier Dialysis, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.3M
Nephrology & Endocrine Associates Inc	NV	Ambulatory Surgical Clinic/Center	$1.7M	$1.4M
Southwest Healthcare Solutions, LLC	NV	Home Health Agency	$0	$2.7M
Dana Forte D O Ltd	NV	Family Medicine Physician	$0	$2.2M
Woodward Ave., LLC	NV	Ambulatory Surgical Clinic/Center	$1.8M	$0

Southern Nevada Specialty Prada, PLLC — Billing Profile & Reimbursement Data

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Southern Nevada Specialty Prada, PLLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References