RADIANT SMILES SERIES 5 LLC SOS Verified
7469 W LAKE MEAD BLVD STE 270, LAS VEGAS, NV 89128
NPI Number
1568778645
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SERIES 5 LLC
Entity Number: E0275782018-7
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2018-06-07
Name Match: 85%
Registered Agent
Name: Registered Agents Inc * (N)
Type: Commercial Registered Agent
Address: 732 S 6TH ST, STE R, Las Vegas, NV, 89101
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | ALLEN LEVINGS | 1253 E 91st St, Indianapolis, IN | Active |
Total Medicaid Payments
$175,856
-58% vs specialty average
Patients Seen
7,466
Total Claims
8,806
$ Per Patient
$24
Specialty avg: $36
Specialty Rank
#71 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
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 | $957 | |
| 2019 | $4,580 | |
| 2020 | $29,394 | |
| 2021 | $30,575 | |
| 2022 | $23,668 | |
| 2023 | $34,275 | |
| 2024 | $52,408 |
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 |
|---|---|---|---|---|---|
| D0274 | Dental X-ray — bitewings (four films) | 1,321 | $25,622 | 14.6% | $19 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 738 | $22,905 | 13.0% | $31 |
| D0220 | Single dental X-ray (of one tooth) | 2,131 | $22,485 | 12.8% | $11 |
| D0210 | Full set of dental X-rays | 397 | $22,179 | 12.6% | $56 |
| D0230 | Additional dental X-ray | 1,701 | $18,274 | 10.4% | $11 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 490 | $15,001 | 8.5% | $31 |
| D0120 | Regular dental checkup and exam | 798 | $11,571 | 6.6% | $15 |
| D1120 | Dental cleaning for children (prophylaxis) | 258 | $10,417 | 5.9% | $40 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 337 | $10,185 | 5.8% | $30 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 405 | $9,613 | 5.5% | $24 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 175 | $3,983 | 2.3% | $23 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 55 | $3,621 | 2.1% | $66 |
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.