ELLSWORTH COX PEDIATRIC DENTISTRY LLC SOS Verified
2843 SAINT ROSE PKWY #100, HENDERSON, NV 89052
NPI Number
1417041146
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: ELLSWORTH COX PEDIATRIC DENTISTRY, LLC.
Entity Number: LLC17149-2004
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2004-07-29
Name Match: 95%
Registered Agent
Name: MICHAELSON LAW
Type: Commercial Registered Agent
Address: 1746 W HORIZON RIDGE PKWY, Henderson, NV, 89012
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | CHAD ELLSWORTH DDS LLC | 10400 S EASTERN AVE., HENDERSON, NV, 89052 | Active |
| Manager | JEFFREY A COX DDS LLC | 10400 S EASTERN AVE., HENDERSON, NV, 89052 | Active |
Total Medicaid Payments
$3,717,021
+201% vs specialty average
Patients Seen
117,723
Total Claims
134,971
$ Per Patient
$32
Specialty avg: $40
Specialty Rank
#8 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
Claims per Patient
1.1
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 | $19,559 | |
| 2019 | $715,279 | |
| 2020 | $564,583 | |
| 2021 | $691,539 | |
| 2022 | $445,042 | |
| 2023 | $573,683 | |
| 2024 | $707,337 |
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) | 25,845 | $1,068,910 | 28.8% | $41 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 24,948 | $809,438 | 21.8% | $32 |
| D0120 | Regular dental checkup and exam | 20,541 | $476,782 | 12.8% | $23 |
| D0272 | Dental X-ray — bitewings (two films) | 21,769 | $358,710 | 9.7% | $16 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 2,238 | $153,808 | 4.1% | $69 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 4,632 | $140,780 | 3.8% | $30 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 2,487 | $116,524 | 3.1% | $47 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 4,729 | $99,461 | 2.7% | $21 |
| D9248 | Other dental service | 1,140 | $97,307 | 2.6% | $85 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 2,205 | $76,665 | 2.1% | $35 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 1,435 | $55,088 | 1.5% | $38 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 4,080 | $44,526 | 1.2% | $11 |
| D0220 | Single dental X-ray (of one tooth) | 3,904 | $42,734 | 1.1% | $11 |
| D2393 | Tooth-colored (resin) filling — three surfaces, back tooth | 530 | $31,492 | 0.8% | $59 |
| D9999 | Other dental service | 1,017 | $29,370 | 0.8% | $29 |
| D0230 | Additional dental X-ray | 5,370 | $29,268 | 0.8% | $5 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 950 | $28,199 | 0.8% | $30 |
| D0999 | Dental exam, X-ray, or screening | 778 | $23,380 | 0.6% | $30 |
| D1354 | Interim caries arresting treatment — applying medicine to stop a cavity from growing | 962 | $11,077 | 0.3% | $12 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 322 | $10,836 | 0.3% | $34 |
| D3120 | Root canal or dental pulp treatment | 144 | $2,651 | 0.1% | $18 |
| D3220 | Pulp treatment for a baby tooth — removing infection from inside the tooth | 46 | $2,214 | 0.1% | $48 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 638 | $1,905 | 0.1% | $3 |
| D0210 | Full set of dental X-rays | 26 | $1,532 | 0.0% | $59 |
| D9420 | Hospital dental care — using the hospital for dental treatment (per hour) | 46 | $1,394 | 0.0% | $30 |
| D0601 | Dental exam, X-ray, or screening | 1,899 | $1,174 | 0.0% | $1 |
| D0602 | Dental exam, X-ray, or screening | 1,362 | $916 | 0.0% | $1 |
| D0603 | Dental exam, X-ray, or screening | 903 | $644 | 0.0% | $1 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 25 | $236 | 0.0% | $9 |
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.