Dental
Kids Choice Pediatric Dentistry, LLC
Kids Choice Pediatric Dentistry, LLC was paid $538K by Medicaid between Mar 2022 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoKIDS CHOICE PEDIATRIC DENTISTRY, LLC
LAS VEGAS, NV 89103
LAS VEGAS, NV 89103
33aNPI1346992922assigned 01/25/2022
33bProvider typePediatric Dentist
28Total paid$538K
24GClaims25,081
24DCodes billed21
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nevada
Rank by total paid#27 of 85
Median peer was paid$244K
This provider vs. median2.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 6,419 | $131K | |
| 2023 | 8,583 | $180K | |
| 2024incomplete | 10,079 | $227K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 2,725 | 2,671 | $122K |
| D1206 | Topical application of fluoride varnish | 18% | 2,713 | 2,661 | $96K |
| D1351 | Sealant - per tooth | 12% | 3,084 | 652 | $67K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.3% | 7,683 | 2,255 | $44K |
| D0274 | Bitewings - four radiographic images | 6.8% | 1,617 | 1,567 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 1,333 | 1,318 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 1,027 | 999 | $33K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.1% | 414 | 126 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 472 | 190 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 1,375 | 1,342 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 245 | 120 | $13K |
| D9999 | Unspecified adjunctive procedure, by report | 1.9% | 179 | 179 | $10K |
9 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 471 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 192 | $4K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 85 | $3K |
| D0603 | <1% | 828 | $776.00 | |
| D0602 | <1% | 570 | $564.00 | |
| D9420 | <1% | 13 | $516.48 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $452.04 |
| D0601 | <1% | 29 | $26.00 | |
| D9986 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialIBEAWUCHI, STEVE (CONSULTING MANAGER)