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BELLA CHILDREN'S DENTAL CARE LLC SOS Verified

Dentist, Pediatric Dentistry · LAS VEGAS, NV

560 N NELLIS BLVD STE E2, LAS VEGAS, NV 89110

NPI Number
1942840723
Street View of 560 N NELLIS BLVD STE E2, LAS VEGAS, NV 89110

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: Bella Children's Dental Care LLC
Entity Number: E4020932020-2
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2020-01-07
Status Changed: 2020-01-07
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
TitleNameAddressStatus
MmemberCarla Cordova3600 N Buffalo Dr, Suite 110, Las Vegas, NVActive
Total Medicaid Payments
$562,341
-54% vs specialty average
Patients Seen
17,745
Total Claims
21,023
$ Per Patient
$32
Specialty avg: $40
Specialty Rank
#30 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
2020$14,343
2021$57,806
2022$145,013
2023$123,694
2024$221,485

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
D1120Dental cleaning for children (prophylaxis)3,262$138,243
24.6%
$42
D1206Fluoride treatment — painted on teeth to prevent cavities3,990$133,150
23.7%
$33
D0120Regular dental checkup and exam2,322$55,368
9.8%
$24
D1351Dental sealant — protective coating on a tooth to prevent cavities2,300$46,722
8.3%
$20
D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth1,077$33,394
5.9%
$31
D0272Dental X-ray — bitewings (two films)1,743$29,605
5.3%
$17
D2930Stainless steel crown — prefabricated (primary tooth)440$25,199
4.5%
$57
D9230Analgesia (pain management during dental work, like nitrous oxide/laughing gas)1,147$15,318
2.7%
$13
D9248Other dental service167$11,739
2.1%
$70
D0330Panoramic dental X-ray (full view of all teeth and jaw)305$11,672
2.1%
$38
D2392Tooth-colored (resin) filling — two surfaces, back tooth205$10,807
1.9%
$53
D0274Dental X-ray — bitewings (four films)458$10,192
1.8%
$22
D0230Additional dental X-ray929$9,311
1.7%
$10
D1110Dental cleaning for adults (prophylaxis)181$7,831
1.4%
$43
D2150Silver (amalgam) filling — two surfaces93$5,370
1.0%
$58
D9999Other dental service140$4,510
0.8%
$32
D0999Dental exam, X-ray, or screening117$3,510
0.6%
$30
D7140Tooth extraction — pulling a tooth that has erupted64$2,714
0.5%
$42
D2391Tooth-colored (resin) filling — one surface, back tooth53$1,898
0.3%
$36
D9310Dental consultation — specialist opinion on a dental problem37$1,462
0.3%
$40
D0140Limited dental exam — for a specific problem (like a toothache)46$1,411
0.3%
$31
D0603Dental exam, X-ray, or screening1,080$1,113
0.2%
$1
D0220Single dental X-ray (of one tooth)88$934
0.2%
$11
D0240Dental X-ray of the whole mouth (panoramic)26$594
0.1%
$23
D0602Dental exam, X-ray, or screening217$201
0.0%
$1
D0601Dental exam, X-ray, or screening75$74
0.0%
$1
D1310Dental preventive care (cleaning, fluoride, sealant)196$0
0.0%
$0
D9986Other dental service85$0
0.0%
$0
D9215Local anesthesia (numbing injection for dental work)180$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.