Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PERLA DENTAL OF KAUFMAN PA

NPI: 1407455173 · KAUFMAN, TX 75142 · General Practice Dentistry · NPI assigned 10/22/2020

$117K
Total Medicaid Paid
6,075
Total Claims
5,865
Beneficiaries
13
Codes Billed
2021-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUSSAIN, JAYESHA (DDS)
NPI Enumeration Date10/22/2020

Related Entities

Other providers sharing the same authorized official: HUSSAIN, JAYESHA

ProviderCityStateTotal Paid
PERLA DENTAL OF DESOTO SOUTHLAKE TX $673K
PERLA DENTAL OF BEDFORD BEDFORD TX $651K
PERLA DENTAL PA GRAND PRAIRIE TX $639K
PERLA DENTAL OF LANCASTER LANCASTER TX $501K
PERLA DENTAL OF ARLINGTON PA ARLINGTON TX $492K
PERLA DENTAL OF TERRELL TERRELL TX $305K
PERLA DENTAL OF FARMERS BRANCH FARMERS BRANCH TX $256K
PERLA DENTAL OF SOUTH DALLAS DALLAS TX $140K
PERLA DENTAL OF BURLESON BURLESON TX $70K
PERLA DENTAL OF KELLER PA FORT WORTH TX $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 380 $6K
2022 1,295 $19K
2023 2,306 $51K
2024 2,094 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 141 132 $18K
D1120 Prophylaxis - child 505 495 $17K
D0150 Comprehensive oral evaluation - new or established patient 442 436 $15K
D1208 Topical application of fluoride, excluding varnish 876 865 $12K
D0220 Intraoral - periapical first radiographic image 971 959 $12K
D0230 Intraoral - periapical each additional radiographic image 1,041 929 $12K
D0120 Periodic oral evaluation - established patient 375 367 $10K
D0274 Bitewings - four radiographic images 274 271 $9K
D1110 Prophylaxis - adult 110 108 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 41 25 $4K
D0272 Bitewings - two radiographic images 52 51 $1K
D0603 907 902 $0.09
D0602 340 325 $0.01