Dental
Ellsworth Cox Pediatric Dentistry LLC
Ellsworth Cox Pediatric Dentistry LLC was paid $3.72M by Medicaid between Sep 2018 and Dec 2024, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoELLSWORTH COX PEDIATRIC DENTISTRY LLC
HENDERSON, NV 89052
HENDERSON, NV 89052
33aNPI1417041146assigned 10/03/2006
33bProvider typePediatric Dentist
28Total paid$3.72M
24GClaims134,971
24DCodes billed29
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nevada
Rank by total paid#5 of 85
Median peer was paid$244K
This provider vs. median15×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 734 | $20K | |
| 2019 | 24,581 | $715K | |
| 2020 | 18,713 | $565K | |
| 2021 | 27,612 | $692K | |
| 2022 | 16,208 | $445K | |
| 2023 | 21,384 | $574K | |
| 2024incomplete | 25,739 | $707K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 25,845 | 24,328 | $1.07M |
| D1206 | Topical application of fluoride varnish | 22% | 24,948 | 23,474 | $809K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 20,541 | 19,462 | $477K |
| D0272 | Bitewings - two radiographic images | 9.7% | 21,769 | 20,445 | $359K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.1% | 2,238 | 629 | $154K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 4,632 | 4,324 | $141K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 2,487 | 1,187 | $117K |
| D1351 | Sealant - per tooth | 2.7% | 4,729 | 1,064 | $99K |
| D9248 | 2.6% | 1,140 | 1,053 | $97K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 2,205 | 1,111 | $77K |
| D0330 | Panoramic radiographic image | 1.5% | 1,435 | 1,360 | $55K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 4,080 | 3,753 | $45K |
17 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 3,904 | $43K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 530 | $31K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 1,017 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,370 | $29K |
| D0140 | Limited oral evaluation - problem focused | <1% | 950 | $28K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 778 | $23K |
| D1354 | <1% | 962 | $11K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 322 | $11K |
| D3120 | <1% | 144 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 46 | $2K |
| D1999 | <1% | 638 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 26 | $2K |
| D9420 | <1% | 46 | $1K | |
| D0601 | <1% | 1,899 | $1K | |
| D0602 | <1% | 1,362 | $916.00 | |
| D0603 | <1% | 903 | $644.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 25 | $236.50 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMENDOZA, DIANA (OFFICE MANAGER)