HEAVENLY SMILES MOBILE DENTAL SOS Verified
6337 HAWTHORN WOODS AVE, LAS VEGAS, NV 89130
NPI Number
1336755362
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Heavenly Smiles Mobile Dental LLC
Entity Number: E5288772020-2
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2020-05-27
Status Changed: 2020-05-27
Name Match: 90%
Registered Agent
Name: CORPORATE DIRECT, INC.
Type: Commercial Registered Agent
Address: 2248 MERIDIAN BLVD STE H, Minden, NV, 89423
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Janet Crosswhite | 2248 Meridian Blvd. Ste H, Minden, NV | Active |
Total Medicaid Payments
$42,122
-70% vs specialty average
Patients Seen
2,513
Total Claims
2,765
$ Per Patient
$17
Specialty avg: $35
Specialty Rank
#4 of 12
Dental Hygienist providers in Nevada
Peer Average
$140,182
Average total for Dental Hygienist
Claims per Patient
1.1
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 |
|---|---|---|
| 2021 | $4,681 | |
| 2022 | $25,364 | |
| 2023 | $5,404 | |
| 2024 | $6,674 |
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 |
|---|---|---|---|---|---|
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 713 | $17,499 | 41.5% | $25 |
| D0190 | Dental exam, X-ray, or screening | 751 | $10,887 | 25.8% | $14 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 239 | $5,336 | 12.7% | $22 |
| D9999 | Other dental service | 91 | $3,420 | 8.1% | $38 |
| D1120 | Dental cleaning for children (prophylaxis) | 62 | $2,758 | 6.5% | $44 |
| D0601 | Dental exam, X-ray, or screening | 287 | $1,193 | 2.8% | $4 |
| D0603 | Dental exam, X-ray, or screening | 126 | $620 | 1.5% | $5 |
| D0999 | Dental exam, X-ray, or screening | 12 | $360 | 0.9% | $30 |
| D0602 | Dental exam, X-ray, or screening | 12 | $50 | 0.1% | $4 |
| D1330 | Dental preventive care (cleaning, fluoride, sealant) | 472 | $0 | 0.0% | $0 |
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.