CARLA CORDOVA DMD MSD LLC SOS Verified
3603 LAS VEGAS BLVD N STE 120, LAS VEGAS, NV 89115
NPI Number
1780219287
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Carla Cordova DMD MSD LLC
Entity Number: E5167122020-7
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2020-03-02
Status Changed: 2020-03-02
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 Cordova | 3600 N BUFFALO DR, STE 110, LAS VEGAS, NV | Active |
Total Medicaid Payments
$2,818,549
+129% vs specialty average
Patients Seen
91,553
Total Claims
113,620
$ Per Patient
$31
Specialty avg: $40
Specialty Rank
#10 of 98
Dentist, Pediatric Dentistry providers in Nevada
Peer Average
$1,233,441
Average total for Dentist, Pediatric Dentistry
Claims per Patient
1.2
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 |
|---|---|---|
| 2019 | $40,384 | |
| 2020 | $450,782 | |
| 2021 | $669,059 | |
| 2022 | $589,545 | |
| 2023 | $484,154 | |
| 2024 | $584,624 |
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) | 13,523 | $563,469 | 20.0% | $42 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 14,466 | $481,342 | 17.1% | $33 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 14,155 | $302,808 | 10.7% | $21 |
| D0120 | Regular dental checkup and exam | 9,209 | $223,219 | 7.9% | $24 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 5,380 | $151,214 | 5.4% | $28 |
| D0272 | Dental X-ray — bitewings (two films) | 7,707 | $127,198 | 4.5% | $17 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 2,590 | $125,732 | 4.5% | $49 |
| D0274 | Dental X-ray — bitewings (four films) | 4,778 | $105,151 | 3.7% | $22 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 4,212 | $98,969 | 3.5% | $23 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 1,584 | $90,484 | 3.2% | $57 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 2,354 | $88,808 | 3.2% | $38 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 2,313 | $84,081 | 3.0% | $36 |
| D1110 | Dental cleaning for adults (prophylaxis) | 1,563 | $68,172 | 2.4% | $44 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 1,513 | $56,086 | 2.0% | $37 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 3,388 | $55,777 | 2.0% | $16 |
| D0220 | Single dental X-ray (of one tooth) | 4,550 | $54,943 | 1.9% | $12 |
| D0230 | Additional dental X-ray | 6,473 | $40,235 | 1.4% | $6 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 1,983 | $26,836 | 1.0% | $14 |
| D9999 | Other dental service | 633 | $17,240 | 0.6% | $27 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 556 | $16,590 | 0.6% | $30 |
| D0999 | Dental exam, X-ray, or screening | 506 | $13,920 | 0.5% | $28 |
| D0603 | Dental exam, X-ray, or screening | 4,588 | $8,464 | 0.3% | $2 |
| D9420 | Hospital dental care — using the hospital for dental treatment (per hour) | 250 | $7,154 | 0.3% | $29 |
| D1208 | Dental preventive care (cleaning, fluoride, sealant) | 566 | $4,674 | 0.2% | $8 |
| D2393 | Tooth-colored (resin) filling — three surfaces, back tooth | 60 | $1,792 | 0.1% | $30 |
| D9248 | Other dental service | 21 | $1,341 | 0.0% | $64 |
| D1354 | Interim caries arresting treatment — applying medicine to stop a cavity from growing | 85 | $1,043 | 0.0% | $12 |
| D0602 | Dental exam, X-ray, or screening | 1,281 | $943 | 0.0% | $1 |
| D0145 | Oral evaluation for a patient under 3 years old | 40 | $676 | 0.0% | $17 |
| D0601 | Dental exam, X-ray, or screening | 193 | $145 | 0.0% | $1 |
| D9215 | Local anesthesia (numbing injection for dental work) | 245 | $43 | 0.0% | $0 |
| D1330 | Dental preventive care (cleaning, fluoride, sealant) | 1,104 | $0 | 0.0% | $0 |
| D9986 | Other dental service | 1,661 | $0 | 0.0% | $0 |
| D9987 | Other dental service | 90 | $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.