CORONA DENTAL & DENTURES, XA PROF. CORP. SOS Verified
5080 E BONANZA RD, LAS VEGAS, NV 89110
NPI Number
1548592710
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: CORONA DENTAL AND DENTURES, XA PROF. CORP
Entity Number: E0465912009-3
Entity Type: Domestic Professional Corporation
Entity Status: Active
Formation Date: 2009-08-28
Status Changed: 2014-10-10
Name Match: 86%
Registered Agent
Name: AITIEN CHAU
Type: Non-Commercial Registered Agent
Address: 2178 ORCHARD MIST, LAS VEGAS, NV, 89135
Mailing: 9690 W. TROPICANA AVE, #110, LAS VEGAS, NV, 89147
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | Hai Xa | 5080 E BONANZA RD, Las Vegas, NV | Active |
| Secretary | Hai Xa | 5080 E BONANZA RD, Las Vegas, NV | Active |
| Treasurer | Hai Xa | 5080 E BONANZA RD, Las Vegas, NV | Active |
| Director | Hai Xa | 5080 E BONANZA RD, Las Vegas, NV | Active |
Total Medicaid Payments
$9,062
-98% vs specialty average
Patients Seen
427
Total Claims
465
$ Per Patient
$21
Specialty avg: $36
Specialty Rank
#197 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.1
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 |
|---|---|---|
| 2022 | $4,432 | |
| 2023 | $2,172 | |
| 2024 | $2,458 |
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 |
|---|---|---|---|---|---|
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 191 | $5,759 | 63.6% | $30 |
| D0220 | Single dental X-ray (of one tooth) | 239 | $3,012 | 33.2% | $13 |
| D0230 | Additional dental X-ray | 35 | $291 | 3.2% | $8 |
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.