Cordova, Charles

Cordova, Charles was paid $19K by Medicaid between Jan 2018 and Jan 2018, across 7 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 46% of everything it billed.

33Billing provider infoCORDOVA, CHARLES
SPARKS, NV 89436

33aNPI1801084678assigned 10/05/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims695

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2018

Compared with peers

Next to other General Practice Dentistry providers in Nevada

Rank by total paid#168 of 247

Median peer was paid$54K

This provider vs. median0.4×

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	695	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	46%	163	55	$9K
D2150	Silver amalgam - two surfaces, primary or permanent	16%	60	26	$3K
D1351	Sealant - per tooth	12%	201	42	$2K
D2140		9.7%	45	24	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	9.0%	155	90	$2K
D7140	Extraction, erupted tooth or exposed root	4.9%	27	16	$946.89
D0350		3.0%	44	31	$574.00

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.