PDCA SAHARA LLC SOS Verified
8981 W SAHARA AVE STE 110, LAS VEGAS, NV 89117
NPI Number
1679353049
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: PDCA Sahara LLC
Entity Number: E35185482023-4
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
$322,601
-74% vs specialty average
Patients Seen
9,843
Total Claims
12,474
$ Per Patient
$33
Specialty avg: $40
Specialty Rank
#41 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 | $322,601 |
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) | 1,843 | $77,805 | 24.1% | $42 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 1,852 | $62,953 | 19.5% | $34 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 2,033 | $39,714 | 12.3% | $20 |
| D0120 | Regular dental checkup and exam | 1,553 | $37,426 | 11.6% | $24 |
| D0272 | Dental X-ray — bitewings (two films) | 1,169 | $19,446 | 6.0% | $17 |
| D9248 | Other dental service | 211 | $17,779 | 5.5% | $84 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 344 | $15,444 | 4.8% | $45 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 232 | $7,176 | 2.2% | $31 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 195 | $6,790 | 2.1% | $35 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 177 | $6,696 | 2.1% | $38 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 104 | $6,629 | 2.1% | $64 |
| D0274 | Dental X-ray — bitewings (four films) | 278 | $6,050 | 1.9% | $22 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 482 | $4,813 | 1.5% | $10 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 131 | $4,741 | 1.5% | $36 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 108 | $3,380 | 1.0% | $31 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 190 | $2,340 | 0.7% | $12 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 227 | $2,167 | 0.7% | $10 |
| D0220 | Single dental X-ray (of one tooth) | 75 | $690 | 0.2% | $9 |
| D0603 | Dental exam, X-ray, or screening | 761 | $340 | 0.1% | $0 |
| D0602 | Dental exam, X-ray, or screening | 184 | $139 | 0.0% | $1 |
| D0601 | Dental exam, X-ray, or screening | 146 | $84 | 0.0% | $1 |
| D9986 | Other dental service | 179 | $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.