KIDS CHOICE PEDIATRIC DENTISTRY, LLC SOS Verified
5680 W FLAMINGO RD STE A, LAS VEGAS, NV 89103
NPI Number
1346992922
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Kids Choice Pediatric Dentistry, LLC
Entity Number: E19614632021-5
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2021-12-27
Status Changed: 2021-12-27
Name Match: 95%
Registered Agent
Name: Kanayo Ezeanolue
Type: Non-Commercial Registered Agent
Address: 8733 Castle View Ave, Las Vegas, NV, 89129
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Bibiana Ezeanolue | 8733 Castle View Ave, Las Vegas, NV | Active |
| Mmember | Kanayo Ezeanolue | 5680 W FLAMINGO RD STE A, LAS VEGAS, NV | Active |
Total Medicaid Payments
$537,805
-56% vs specialty average
Patients Seen
16,211
Total Claims
25,081
$ Per Patient
$33
Specialty avg: $40
Specialty Rank
#31 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
Claims per Patient
1.5
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 |
|---|---|---|
| 2022 | $130,885 | |
| 2023 | $179,973 | |
| 2024 | $226,947 |
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 |
|---|---|---|---|---|---|
| D1120 | Dental cleaning for children (prophylaxis) | 2,725 | $121,819 | 22.7% | $45 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 2,713 | $96,234 | 17.9% | $35 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 3,084 | $66,817 | 12.4% | $22 |
| D0230 | Additional dental X-ray | 7,683 | $44,470 | 8.3% | $6 |
| D0274 | Dental X-ray — bitewings (four films) | 1,617 | $36,732 | 6.8% | $23 |
| D0120 | Regular dental checkup and exam | 1,333 | $34,088 | 6.3% | $26 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 1,027 | $32,967 | 6.1% | $32 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 414 | $27,680 | 5.1% | $67 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 472 | $18,510 | 3.4% | $39 |
| D0220 | Single dental X-ray (of one tooth) | 1,375 | $17,989 | 3.3% | $13 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 245 | $12,904 | 2.4% | $53 |
| D9999 | Other dental service | 179 | $10,180 | 1.9% | $57 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 471 | $8,409 | 1.6% | $18 |
| D0145 | Oral evaluation for a patient under 3 years old | 192 | $3,819 | 0.7% | $20 |
| D0999 | Dental exam, X-ray, or screening | 85 | $2,850 | 0.5% | $34 |
| D0603 | Dental exam, X-ray, or screening | 828 | $776 | 0.1% | $1 |
| D0602 | Dental exam, X-ray, or screening | 570 | $564 | 0.1% | $1 |
| D9420 | Hospital dental care — using the hospital for dental treatment (per hour) | 13 | $516 | 0.1% | $40 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 13 | $452 | 0.1% | $35 |
| D0601 | Dental exam, X-ray, or screening | 29 | $26 | 0.0% | $1 |
| D9986 | Other dental service | 13 | $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.