GKD GALAXY LLC SOS Verified
9575 W TROPICANA AVE STE 5, LAS VEGAS, NV 89147
NPI Number
1376323428
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: GKD Galaxy LLC
Entity Number: E35185812023-1
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2023-09-28
Status Changed: 2023-09-28
Name Match: 95%
Registered Agent
Name: Carla Cordova
Type: Non-Commercial Registered Agent
Address: 3600 N Buffalo Dr., Suite 110, Las Vegas, NV, 89129
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Carla LaLande Cordova | 3600 N BUFFALO DR, STE 110, Las Vegas, NV | Active |
Total Medicaid Payments
$149,791
-88% vs specialty average
Patients Seen
4,634
Total Claims
6,066
$ Per Patient
$32
Specialty avg: $40
Specialty Rank
#54 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
Claims per Patient
1.3
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 |
|---|---|---|
| 2024 | $149,791 |
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) | 1,080 | $42,544 | 28.4% | $39 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 1,046 | $32,267 | 21.5% | $31 |
| D0120 | Regular dental checkup and exam | 931 | $20,965 | 14.0% | $23 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 868 | $15,858 | 10.6% | $18 |
| D0272 | Dental X-ray — bitewings (two films) | 711 | $11,110 | 7.4% | $16 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 216 | $8,036 | 5.4% | $37 |
| D9248 | Other dental service | 70 | $5,458 | 3.6% | $78 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 354 | $4,204 | 2.8% | $12 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 79 | $2,065 | 1.4% | $26 |
| D0274 | Dental X-ray — bitewings (four films) | 90 | $1,803 | 1.2% | $20 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 45 | $1,516 | 1.0% | $34 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 36 | $1,376 | 0.9% | $38 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 37 | $1,042 | 0.7% | $28 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 16 | $519 | 0.3% | $32 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 86 | $496 | 0.3% | $6 |
| D0220 | Single dental X-ray (of one tooth) | 51 | $406 | 0.3% | $8 |
| D0601 | Dental exam, X-ray, or screening | 207 | $119 | 0.1% | $1 |
| D0602 | Dental exam, X-ray, or screening | 13 | $8 | 0.0% | $1 |
| D9986 | Other dental service | 130 | $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.