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CHANGING SMILES PEDIATRIC DENTISTRY SOS Verified

Dentist, Pediatric Dentistry · LAS VEGAS, NV

1750 WHEELER PEAK DR, LAS VEGAS, NV 89106

NPI Number
1033804364
Street View of 1750 WHEELER PEAK DR, LAS VEGAS, NV 89106

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: CHANGING SMILES PEDIATRIC DENTISTRY
Entity Number: E8690532020-5
Entity Type: Domestic Nonprofit Corporation
Entity Status: Active
Formation Date: 2020-08-24
Status Changed: 2022-09-01
Name Match: 95%
Registered Agent
Name: CRA OF AMERICA, LLC
Type: Commercial Registered Agent
Address: 606 S NINTH ST, LAS VEGAS, NV, 89101
Officers / Principals
TitleNameAddressStatus
PresidentTerry Meads7674 W Lake Mead blvd suite 247, Las Vegas, NVActive
DirectorMiquala Hale7674 W Lake Mead blvd suite 247, Las Vegas, NVActive
DirectorSharon Meads7674 W Lake Mead blvd suite 247, Las Vegas, NVActive
Total Medicaid Payments
$45,511
-96% vs specialty average
Patients Seen
1,168
Total Claims
1,607
$ Per Patient
$39
Specialty avg: $40
Specialty Rank
#73 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
Claims per Patient
1.4
Average visits / services per person

Payments by Year

How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.

Year Total Paid % of Max
2024$45,511

Procedure Code Breakdown

The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.

HCPCS Code Description Claims Paid % of Total Avg per Claim
D2930Stainless steel crown — prefabricated (primary tooth)110$8,165
17.9%
$74
D1120Dental cleaning for children (prophylaxis)179$7,034
15.5%
$39
D1206Fluoride treatment — painted on teeth to prevent cavities174$5,361
11.8%
$31
D3240Root canal or dental pulp treatment62$4,410
9.7%
$71
D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth120$3,381
7.4%
$28
D2392Tooth-colored (resin) filling — two surfaces, back tooth59$3,312
7.3%
$56
D0274Dental X-ray — bitewings (four films)145$2,945
6.5%
$20
D0230Additional dental X-ray289$2,580
5.7%
$9
D0330Panoramic dental X-ray (full view of all teeth and jaw)68$2,032
4.5%
$30
D0220Single dental X-ray (of one tooth)182$1,614
3.5%
$9
D1351Dental sealant — protective coating on a tooth to prevent cavities58$1,386
3.0%
$24
D7140Tooth extraction — pulling a tooth that has erupted29$1,162
2.6%
$40
D9248Other dental service12$1,149
2.5%
$96
D9230Analgesia (pain management during dental work, like nitrous oxide/laughing gas)50$929
2.0%
$19
D0603Dental exam, X-ray, or screening70$50
0.1%
$1

About This Data

This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.