TRUNG XA DDS AND DIANA XA DDS, A PROFESSIONAL CORPORATION SOS Verified
6720 N DURANGO DR STE 260, LAS VEGAS, NV 89149
NPI Number
1619026549
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: TRUNG XA D.D.S. AND DIANA XA D.D.S., A PROFESSIONAL CORPORATION
Entity Number: C31857-2004
Entity Type: Domestic Professional Corporation
Entity Status: Active
Formation Date: 2004-11-29
Status Changed: 2011-01-14
Name Match: 100%
Registered Agent
Name: TRUNG Q. XA
Type: Non-Commercial Registered Agent
Address: 6720 N. DURANGO DRIVE, SUITE 260, LAS VEGAS, NV, 89149
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | TRUNG XA | 6720 N DURANGO DRIVE STE #260, LAS VEGAS, NV, 89149 | Active |
| Secretary | TRUNG XA | 6720 N DURANGO DRIVE STE #260, LAS VEGAS, NV, 89149 | Active |
| Treasurer | TRUNG XA | 6720 N DURANGO DRIVE STE #260, LAS VEGAS, NV, 89149 | Active |
| Director | DIANA XA | 6720 N. DURANGO DR. SUITE 260, LAS VEGAS, NV, 89149 | Active |
Total Medicaid Payments
$173,724
-59% vs specialty average
Patients Seen
7,338
Total Claims
8,733
$ Per Patient
$24
Specialty avg: $36
Specialty Rank
#73 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.2
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 | $2,618 | |
| 2019 | $48,986 | |
| 2020 | $27,465 | |
| 2021 | $40,304 | |
| 2022 | $41,437 | |
| 2023 | $12,913 |
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) | 1,072 | $26,762 | 15.4% | $25 |
| D1120 | Dental cleaning for children (prophylaxis) | 714 | $26,719 | 15.4% | $37 |
| D0210 | Full set of dental X-rays | 522 | $23,859 | 13.7% | $46 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 711 | $20,636 | 11.9% | $29 |
| D0120 | Regular dental checkup and exam | 1,116 | $19,537 | 11.2% | $18 |
| D0220 | Single dental X-ray (of one tooth) | 1,858 | $18,596 | 10.7% | $10 |
| D0274 | Dental X-ray — bitewings (four films) | 775 | $15,562 | 9.0% | $20 |
| D0230 | Additional dental X-ray | 1,422 | $7,394 | 4.3% | $5 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 234 | $6,446 | 3.7% | $28 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 60 | $2,546 | 1.5% | $42 |
| D1110 | Dental cleaning for adults (prophylaxis) | 128 | $2,285 | 1.3% | $18 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 46 | $1,502 | 0.9% | $33 |
| D0999 | Dental exam, X-ray, or screening | 38 | $1,140 | 0.7% | $30 |
| D9999 | Other dental service | 37 | $740 | 0.4% | $20 |
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.