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NPI 1770948689 · Las Vegas, NV · General Practice Dentistry
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Southern Nevada General Dentistry Prada, PLLC is a general practice dentistry provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 65 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Southern Nevada General Dentistry Prada, PLLC |
| Address | 6490 S. Mccarran Blvd. #17 & #18 |
| City | Las Vegas |
| State | NV |
| ZIP | 89509 |
| Taxonomy | General Practice Dentistry |
| NPI Enumerated | December 18, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $38.4M |
| Medicare | $0 |
This provider is effectively a single‑payer Medicaid operator: Medicare revenue is listed as none and all billed revenue on file is Medicaid totaling $38.4M. The absence of Medicare billing on file indicates the clinic’s patient mix and contracts are concentrated in Medicaid populations rather than fee‑for‑service Medicare beneficiaries.
Revenue concentration within Medicaid is meaningful: the precomputed top three Medicaid codes account for 30.1% of this provider’s total Medicaid revenue. Those top three codes are D1206 ($3.8M, 10.8%), D7210 ($3.6M, 10.2%), and D1120 ($3.3M, 9.2%), so nearly one‑third of Medicaid dollars are driven by a small set of high‑volume pediatric preventive and surgical codes.
The code mix signals a high-volume pediatric preventive practice component: D1206 (Topical Fluoride Treatment), D1120 (Prophylaxis–child) and D1351 (Sealant) appear among the top revenue drivers with large claim counts and substantial revenue (D1206 $3.8M, D1120 $3.3M, D1351 $2.8M). Those codes, combined with the provider’s extreme outlier ranks in-state for these services, suggest the operation delivers mass pediatric preventive care and likely participates in targeted school‑ or community‑based programs or high-throughput clinic sessions.
Alongside preventive care, the provider shows large volumes of surgical and extraction codes: D7210 ($3.6M, 10.2%) and D7140 ($1.3M, 3.6%) rank at the top of statewide lists and are described as extreme outliers. This mix of complex extractions and routine restorative work (e.g., D2392 $1.5M, D2391 $524.9K) implies the clinic handles a broad case acuity range, including advanced operative procedures for patients with significant disease burden.
Competitive standing in Nevada is dominant for many Medicaid codes: multiple codes are ranked #1 in-state and labeled as “extreme outlier, far above typical state volume,” including D1206 (rank #1 of 449), D7210 (rank #1 of 154), and D1120 (rank #1 of 487). Those percentile and rank annotations indicate the provider is a major statewide player for both preventive pediatric services and certain operative procedures rather than a modest local participant.
The provider reports exceptionally high imaging and ancillary procedure volumes: D0230 shows 200.9K claims ($1.2M), D0220 88K claims ($1.2M), and D0210 23.1K claims ($1.2M), with many of these radiography codes ranking #1 in-state. Such imaging throughput supports a high‑capacity clinical workflow and suggests standardized diagnostic pathways used across a large patient panel.
Service breadth across the top 25 Medicaid codes is wide, spanning preventive (D1351, D1110), diagnostic (D0140, D0150, D0210), restorative (D2392, D2391), surgical (D7210, D7140, D7240) and adjunctive codes (D9310, D9223). The presence of many distinct high-volume codes each contributing meaningful revenue demonstrates the clinic is not narrowly specialized but operates a comprehensive general dentistry practice tailored to Medicaid beneficiaries.
Operational tenure and scale appear established: the NPI was enumerated 2015-12-18 (~11 years ago), and the extremely large claim counts across numerous codes (for example, 140.6K claims for D1351 and 200.9K claims for D0230) are consistent with a multi‑year, high‑capacity operation that has achieved outsized Medicaid market share in Nevada. This longevity combined with dominant ranks suggests sustained high throughput rather than a transient billing spike.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
65 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 85,430 | $50 | $3.8M |
| 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… | 51,090 | $70 | $3.6M |
| D1120 | Prophylaxis–child | 68,110 | $50 | $3.3M |
| D1351 | Sealant - per tooth | 140,630 | $20 | $2.8M |
| D2930 | N/A | 32,670 | $80 | $2.5M |
| D0150 | Comprehensive oral evaluation – new or established patient | 56,870 | $30 | $1.8M |
| D2392 | Post 2 surface resin‑based composite | 30,870 | $50 | $1.5M |
| D0140 | Limited oral evaluation – problem focused | 44,440 | $30 | $1.4M |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 32,530 | $40 | $1.3M |
| D0120 | Periodic oral evaluation - established patient | 44,740 | $30 | $1.3M |
Showing 1–10 of 65
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
65 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1 | 150 | 270 | $70 | $141.3K |
| D7240 | N/A | 1 | 30 | 190 | $130 | $136.4K |
| D2929 | N/A | 1 | 10 | 210 | $120 | $122.4K |
| D2930 | N/A | 1 | 100 | 560 | $70 | $110.6K |
| D5110 | N/A | 4 | 10 | 60 | $450 | $107.4K |
| D7241 | N/A | 3 | 10 | 50 | $190 | $107.2K |
| D9223 | N/A | 1 | 40 | 390 | $50 | $97.8K |
| D1120 | Prophylaxis–child | 1 | 490 | 460 | $40 | $96.4K |
| D7220 | N/A | 3 | 20 | 160 | $110 | $94.5K |
| D3230 | N/A | 1 | 10 | 140 | $80 | $92.3K |
Showing 1–10 of 65
Other providers in the same ZIP code as Southern Nevada General Dentistry Prada, PLLC, ranked by combined Medicare and Medicaid revenue.
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