Dental
Pdca Sahara LLC
Pdca Sahara LLC was paid $323K by Medicaid between Mar 2024 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoPDCA SAHARA LLC
LAS VEGAS, NV 89117
LAS VEGAS, NV 89117
33aNPI1679353049assigned 10/03/2023
33bProvider typePediatric Dentist
28Total paid$323K
24GClaims12,474
24DCodes billed22
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Nevada
Rank by total paid#38 of 85
Median peer was paid$244K
This provider vs. median1.3×
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 | 12,474 | $323K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 1,843 | 1,778 | $78K |
| D1206 | Topical application of fluoride varnish | 20% | 1,852 | 1,782 | $63K |
| D1351 | Sealant - per tooth | 12% | 2,033 | 500 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,553 | 1,502 | $37K |
| D0272 | Bitewings - two radiographic images | 6.0% | 1,169 | 1,122 | $19K |
| D9248 | 5.5% | 211 | 197 | $18K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 344 | 187 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 232 | 222 | $7K |
| D0330 | Panoramic radiographic image | 2.1% | 195 | 189 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 177 | 109 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.1% | 104 | 62 | $7K |
| D0274 | Bitewings - four radiographic images | 1.9% | 278 | 269 | $6K |
10 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 482 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 131 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 108 | $3K |
| D0240 | <1% | 190 | $2K | |
| D1353 | <1% | 227 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 75 | $689.64 |
| D0603 | <1% | 761 | $340.00 | |
| D0602 | <1% | 184 | $139.00 | |
| D0601 | <1% | 146 | $84.00 | |
| D9986 | 0% | 179 | $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 |
|---|---|---|
| KDS Safari LLC | Las Vegas, NV | $299K |
| 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.