LEGENDARY SMILES ORTHODONTICS LLC SOS Verified
5220 NEIL RD. STE. 110, RENO, NV 89502
NPI Number
1114454097
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: LEGENDARY SMILES ORTHODONTICS L.L.C.
Entity Number: E0154822017-6
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2017-03-31
Status Changed: 2025-04-01
Name Match: 95%
Registered Agent
Name: NATE ROCKWELL
Type: Non-Commercial Registered Agent
Address: 3605 GRANT DRIVE, RENO, NV, 89509
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | BLUETREE DENTAL, LLC | 9785 GATEWAY DR #2000, Reno, NV | Active |
Total Medicaid Payments
$992,715
+141% vs specialty average
Patients Seen
27,857
Total Claims
33,661
$ Per Patient
$36
Specialty avg: $59
Specialty Rank
#8 of 41
Dentist, Orthodontics and Dentofacial Orthopedics providers in Nevada
Peer Average
$412,062
Average total for Dentist, Orthodontics and Dentofacial Orthopedics
Claims per Patient
1.2
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 |
|---|---|---|
| 2018 | $140,850 | |
| 2019 | $127,826 | |
| 2020 | $87,553 | |
| 2021 | $179,179 | |
| 2022 | $141,891 | |
| 2023 | $150,986 | |
| 2024 | $164,430 |
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 |
|---|---|---|---|---|---|
| D8660 | Braces or orthodontic treatment | 11,707 | $456,464 | 46.0% | $39 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 8,248 | $176,299 | 17.8% | $21 |
| D0340 | Dental exam, X-ray, or screening | 5,237 | $171,261 | 17.3% | $33 |
| D0350 | Dental exam, X-ray, or screening | 8,427 | $131,087 | 13.2% | $16 |
| D8080 | Full braces (comprehensive orthodontic treatment, adolescent) | 30 | $39,604 | 4.0% | $1,320 |
| D8020 | Braces or orthodontic treatment | 12 | $18,000 | 1.8% | $1,500 |
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.