MIGHTY SMILES DENTISTRY SOS Verified
4210 W CRAIG RD, NORTH LAS VEGAS, NV 89032
NPI Number
1669048526
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: MIGHTY SMILES DENTISTRY, LLC
Entity Number: E14517882021-1
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2021-05-12
Status Changed: 2021-05-12
Name Match: 90%
Registered Agent
Name: LAW OFFICES OF JOHN BENEDICT
Type: Commercial Registered Agent
Address: 8965 South Eastern Ave Suite 382, LAS VEGAS, NV, 89123
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | AMANDA DARTHENAY | 1220 Shadow Lane, Las Vegas, NV | Active |
| Mmember | VANNA TRUONG | 9287 Martel Avenue, Las Vegas, NV | Active |
Total Medicaid Payments
$390,199
-22% vs specialty average
Patients Seen
10,863
Total Claims
14,848
$ Per Patient
$36
Specialty avg: $33
Specialty Rank
#8 of 36
Clinic/Center, Dental providers in Nevada
Peer Average
$498,808
Average total for Clinic/Center, Dental
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 |
|---|---|---|
| 2022 | $10,299 | |
| 2023 | $133,362 | |
| 2024 | $246,537 |
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) | 1,409 | $62,919 | 16.1% | $45 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 1,649 | $57,953 | 14.9% | $35 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 2,482 | $53,131 | 13.6% | $21 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 856 | $42,396 | 10.9% | $50 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 905 | $27,262 | 7.0% | $30 |
| D0230 | Additional dental X-ray | 2,598 | $23,199 | 5.9% | $9 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 345 | $21,987 | 5.6% | $64 |
| D0274 | Dental X-ray — bitewings (four films) | 996 | $21,612 | 5.5% | $22 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 531 | $16,258 | 4.2% | $31 |
| D0120 | Regular dental checkup and exam | 559 | $14,396 | 3.7% | $26 |
| D0220 | Single dental X-ray (of one tooth) | 785 | $9,173 | 2.4% | $12 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 184 | $7,577 | 1.9% | $41 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 202 | $6,749 | 1.7% | $33 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 144 | $5,345 | 1.4% | $37 |
| D9420 | Hospital dental care — using the hospital for dental treatment (per hour) | 146 | $5,076 | 1.3% | $35 |
| D1110 | Dental cleaning for adults (prophylaxis) | 88 | $4,481 | 1.1% | $51 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 242 | $4,226 | 1.1% | $17 |
| D0603 | Dental exam, X-ray, or screening | 594 | $2,855 | 0.7% | $5 |
| D9310 | Dental consultation — specialist opinion on a dental problem | 27 | $1,215 | 0.3% | $45 |
| D2330 | Tooth-colored (resin) filling — one surface, front tooth | 22 | $958 | 0.2% | $44 |
| D0145 | Oral evaluation for a patient under 3 years old | 41 | $878 | 0.2% | $21 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 26 | $307 | 0.1% | $12 |
| D0190 | Dental exam, X-ray, or screening | 17 | $244 | 0.1% | $14 |
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.