DAWNA PHAN PROFESSIONAL CORPORATION SOS Flagged
5061 E SAHARA AVE 1A, LAS VEGAS, NV 89142
NPI Number
1013245695
Practice location · View on Google Maps
SOS Verification: Questionable
Entity Name: DAWNA PHAN PROFESSIONAL CORPORATION
Entity Number: E0649912009-5
Entity Type: Domestic Professional Corporation
Entity Status: Revoked
Formation Date: 2009-12-18
Status Changed: 2023-01-01
Name Match: 95%
SOS Status: Revoked
Registered Agent
Name: DAWNA PHAN PROFESSIONAL CORPORATION c/o secretary
Type: Non-Commercial Registered Agent
Address: 5061 E SAHARA AVE, STE 1-A, LAS VEGAS, NV, 89142
Research Report
Operates as: Absolute Dental (employer)
Dr. Dawna Phan is an active general dentist at Absolute Dental Rainbow (7320 S Rainbow Blvd Ste 103, Las Vegas). Appears to work as employee of Absolute Dental chain. Old PC revoked — officers include out-of-state family members (Garden Grove CA, Orange CA). Practitioner is active but old PC is revoked.
Needs Manual Review
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | DAWNA PHAN | 2163 EAGLEPATH CIR, HENDERSON, NV, 89074 | Active |
| Secretary | PHIET BUI | 2163 EAGLEPATH CIR, HENDERSON, NV, 89074 | Active |
| Treasurer | MINDY PHAN | 12664 CHAPMAN AVE #1106, GARDEN GROVE, CA, 92840 | Active |
| Director | KEVIN PHAN | 3007 N GAYLE ST, ORANGE, CA, 92865 | Active |
Total Medicaid Payments
$694,060
+95% vs specialty average
Patients Seen
20,811
Total Claims
27,188
$ Per Patient
$33
Specialty avg: $34
Specialty Rank
#24 of 180
Dentist providers in Nevada
Peer Average
$355,999
Average total for Dentist
Claims per Patient
1.3
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 |
|---|---|---|
| 2018 | $2,020 | |
| 2019 | $220,629 | |
| 2020 | $190,354 | |
| 2021 | $244,834 | |
| 2022 | $36,224 |
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 |
|---|---|---|---|---|---|
| D1120 | Dental cleaning for children (prophylaxis) | 2,527 | $106,227 | 15.3% | $42 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 1,781 | $90,761 | 13.1% | $51 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 2,486 | $82,779 | 11.9% | $33 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 3,387 | $69,864 | 10.1% | $21 |
| D0274 | Dental X-ray — bitewings (four films) | 2,531 | $55,728 | 8.0% | $22 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 1,605 | $49,355 | 7.1% | $31 |
| D0210 | Full set of dental X-rays | 859 | $47,299 | 6.8% | $55 |
| D0120 | Regular dental checkup and exam | 1,994 | $41,745 | 6.0% | $21 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 631 | $24,141 | 3.5% | $38 |
| D0220 | Single dental X-ray (of one tooth) | 1,822 | $23,220 | 3.3% | $13 |
| D0230 | Additional dental X-ray | 3,414 | $18,968 | 2.7% | $6 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 500 | $18,787 | 2.7% | $38 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 503 | $15,289 | 2.2% | $30 |
| D0240 | Dental X-ray of the whole mouth (panoramic) | 680 | $9,579 | 1.4% | $14 |
| D9230 | Analgesia (pain management during dental work, like nitrous oxide/laughing gas) | 526 | $9,260 | 1.3% | $18 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 535 | $8,331 | 1.2% | $16 |
| D0999 | Dental exam, X-ray, or screening | 165 | $4,970 | 0.7% | $30 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 108 | $4,165 | 0.6% | $39 |
| D9999 | Other dental service | 215 | $3,790 | 0.5% | $18 |
| D0601 | Dental exam, X-ray, or screening | 630 | $3,014 | 0.4% | $5 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 50 | $2,414 | 0.3% | $48 |
| D2393 | Tooth-colored (resin) filling — three surfaces, back tooth | 36 | $2,224 | 0.3% | $62 |
| D1110 | Dental cleaning for adults (prophylaxis) | 37 | $805 | 0.1% | $22 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 53 | $795 | 0.1% | $15 |
| D0603 | Dental exam, X-ray, or screening | 100 | $496 | 0.1% | $5 |
| D0602 | Dental exam, X-ray, or screening | 13 | $55 | 0.0% | $4 |
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.