Dental
KDS Safari LLC
KDS Safari LLC was paid $299K by Medicaid between Feb 2024 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoKDS SAFARI LLC
LAS VEGAS, NV 89119
LAS VEGAS, NV 89119
33aNPI1447030713assigned 10/03/2023
33bProvider typePediatric Dentist
28Total paid$299K
24GClaims12,345
24DCodes billed23
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nevada
Rank by total paid#41 of 85
Median peer was paid$244K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2024incomplete | 12,345 | $299K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 1,821 | 1,699 | $74K |
| D1206 | Topical application of fluoride varnish | 20% | 1,817 | 1,699 | $59K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,559 | 1,464 | $36K |
| D1351 | Sealant - per tooth | 11% | 1,655 | 422 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 497 | 274 | $23K |
| D0272 | Bitewings - two radiographic images | 6.9% | 1,264 | 1,180 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 595 | 525 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 264 | 152 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 184 | 128 | $7K |
| D0274 | Bitewings - four radiographic images | 2.0% | 280 | 254 | $6K |
| D0330 | Panoramic radiographic image | 1.9% | 160 | 149 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 159 | 141 | $4K |
11 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.4% | 61 | $4K |
| D1353 | 1.3% | 548 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 54 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 110 | $1K |
| D0240 | <1% | 31 | $727.65 | |
| D1110 | Prophylaxis - adult | <1% | 12 | $567.00 |
| D0603 | <1% | 461 | $259.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 49 | $251.99 |
| D0602 | <1% | 211 | $113.00 | |
| D0601 | <1% | 133 | $57.00 | |
| D9986 | 0% | 420 | $0.00 |
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 officialLALANDE CORDOVA, CARLA (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Pdca Sahara LLC | Las Vegas, NV | $323K |
| GKD Galaxy LLC | Las Vegas, NV | $150K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.