Dental
Kid Dental Carson City LLC
Kid Dental Carson City LLC was paid $849K by Medicaid between Jul 2019 and Mar 2022, across 29 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 17% of everything it billed.
33Billing provider infoKID DENTAL CARSON CITY LLC
CARSON CITY, NV 89703
CARSON CITY, NV 89703
33aNPI1679139257assigned 05/19/2019
33bProvider typeDentist
28Total paid$849K
24GClaims39,109
24DCodes billed29
24AFirst – last monthJul 2019 – Mar 2022
Compared with peers
Next to other Dentist providers in Nevada
Rank by total paid#20 of 191
Median peer was paid$67K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 5,086 | $107K | |
| 2020 | 15,596 | $358K | |
| 2021 | 16,636 | $346K | |
| 2022 | 1,791 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 17% | 3,646 | 3,175 | $146K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,782 | 2,447 | $119K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 1,393 | 668 | $110K |
| D1351 | Sealant - per tooth | 6.5% | 2,865 | 776 | $55K |
| D0274 | Bitewings - four radiographic images | 5.9% | 2,747 | 2,404 | $50K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 1,743 | 1,511 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 1,658 | 1,471 | $41K |
| D1354 | 4.2% | 3,230 | 771 | $36K | |
| D1110 | Prophylaxis - adult | 4.0% | 842 | 765 | $34K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 1,650 | 1,394 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 2,719 | 2,340 | $26K |
| D2160 | 2.5% | 219 | 150 | $21K |
17 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 4,564 | $21K |
| D0330 | Panoramic radiographic image | 2.4% | 864 | $20K |
| D1353 | 2.0% | 1,472 | $17K | |
| D2140 | 1.9% | 293 | $16K | |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 456 | $13K |
| D9991 | 1.3% | 1,176 | $11K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 1,314 | $10K |
| D9215 | 1.1% | 1,827 | $10K | |
| D0272 | Bitewings - two radiographic images | <1% | 408 | $6K |
| D4346 | <1% | 61 | $6K | |
| D3120 | <1% | 189 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 75 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 39 | $1K |
| D7111 | <1% | 33 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | $688.80 |
| D0240 | <1% | 156 | $70.70 | |
| D1999 | 0% | 670 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGOLDEN, ANGELA (MEMBER/OWNER)