PERLA DENTAL OF KELLER PA
NPI: 1497354179
· FORT WORTH, TX 76244
· Dentist
· NPI assigned 10/22/2020
Provider Details
Related Entities
Other providers sharing the same authorized official: HUSSAIN, JAYESHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$264.77 |
| 2023 |
243 |
$4K |
| 2024 |
920 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
117 |
15 |
$3K |
| D0274 |
Bitewings - four radiographic images |
89 |
89 |
$3K |
| D1110 |
Prophylaxis - adult |
53 |
52 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
204 |
200 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
237 |
171 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
86 |
81 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
177 |
175 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
44 |
44 |
$1K |
| D1120 |
Prophylaxis - child |
29 |
29 |
$1K |
| D0602 |
|
151 |
147 |
$1.02 |