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    OpenPayerNPI Medicare & MedicaidKid Dental LLC
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    Kid Dental LLC — Billing Profile & Reimbursement Data

    NPI 1518355395 · Sparks, NV · General Practice Dentistry

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    Kid Dental LLC is a general practice dentistry provider located in Sparks, Nevada. This profile covers 0 Medicare and 33 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationKid Dental LLC
    Address1301 N Mccarran Blvd Ste 104
    CitySparks
    StateNV
    ZIP89431
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJanuary 2, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients7,390$50$332.3K
    D1120Prophylaxis–child6,870$50$329.6K
    D1351Sealant - per tooth7,040$20$126.7K
    D0150Comprehensive oral evaluation – new or established patient3,740$30$100.9K
    D0120Periodic oral evaluation - established patient3,730$30$100.8K
    D2150Amalgam - two surfaces, primary or permanent1,170$70$76.9K
    D0272N/A3,600$20$64.7K
    D1354N/A5,750$10$57.5K
    D0220Intraoral - periapical first radiographic image5,080$10$55.9K
    D0230Intraoral - periapical each additional radiographic image9,080$10$54.5K

    Showing 1–10 of 33

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2929N/A1010210$120$122.4K
    D2930N/A68100560$70$110.6K
    D1120Prophylaxis–child42490460$40$96.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients36450470$40$92K
    D1351Sealant - per tooth32320700$20$63.9K
    D9310N/A41100110$50$49.1K
    D2392Post 2 surface resin‑based composite127240210$50$43.7K
    D0120Periodic oral evaluation - established patient44460330$20$40.5K
    D2150Amalgam - two surfaces, primary or permanent1070150$60$38.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)182210210$40$35.1K

    Showing 1–10 of 33

    Nearby Providers

    Other providers in the same ZIP code as Kid Dental LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sierra Regional CenterNVRespite Care$0$225.1M
    Nv St Dv Mh/ds Rural Regional CenterNVRespite Care$0$64.3M
    Nv St Dv Mh/ds Rural Regional CenterNVRespite Care$0$11.3M
    State Of Nevada - Dv Mh Ds Sierra Dev CenterNVCase Manager/Care Coordinator$0$7.4M
    State Of NevadaNVCase Management Agency$0$6.3M
    Michael And Chan Smiles LtdNVPediatric Dentistry$0$2.9M
    The Life Change CenterNVAddiction (Substance Use Disorder) Psychologist$373.2K$1.6M
    Garrison, Wiskerchen & Coates, LtdNVMental Health Clinic/Center (Including Community Mental Health Center)$0$1.8M
    Rothstein And Shapiro Mds LtdNVAllergy & Immunology Physician$0$1.4M
    Wildcreek Surgery CenterNVAmbulatory Surgical Clinic/Center$775.4K$226.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nevada Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Kid Dental LLC — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada