Just ate there this past week and this was my 3rd visit to B&B. Every time I've been here it's been nothing short of excellent. I booked a reservation for six online just one day in advance for a Monday night. The hostess greeted us and sat us immediately. The waiter came by quickly greeted us and then sent over the sommelier. The staff was very knowledgeable about each of the dishes and our waiters recommendations were perfect. We did quite a bit of sampling but some of the highlights for the antipasti would be the grilled octopus, the caramelized fig salad and the caprese salad. As for the primi and secondi I recommend the beef cheek ravioli, gnocchi with lamb ragu and mint and the short rib.
The bottom line...as someone who frequently travels North America and dines out regularly, this restaurant is easily in my top 5 and has made its way into my list of restaurants I must go to on all future Las Vegas trips. I highly recommend it.