Dental
Perla Dental of Keller PA
Perla Dental of Keller PA was paid $22K by Medicaid between Oct 2022 and Nov 2024, across 10 billing codes. Its largest line is D1351, Sealant - per tooth — 15% of everything it billed.
33Billing provider infoPERLA DENTAL OF KELLER PA
FORT WORTH, TX 76244
FORT WORTH, TX 76244
33aNPI1497354179assigned 10/22/2020
33bProvider typeDentist
28Total paid$22K
24GClaims1,187
24DCodes billed10
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#941 of 1,678
Median peer was paid$35K
This provider vs. median0.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 24 | $264.77 | |
| 2023 | 243 | $4K | |
| 2024incomplete | 920 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 15% | 117 | 15 | $3K |
| D0274 | Bitewings - four radiographic images | 14% | 89 | 89 | $3K |
| D1110 | Prophylaxis - adult | 13% | 53 | 52 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 204 | 200 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 237 | 171 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 86 | 81 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 9.7% | 177 | 175 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 44 | 44 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 29 | 29 | $1K |
| D0602 | <1% | 151 | 147 | $1.02 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHUSSAIN, JAYESHA (DDS)
| Provider | Location | 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 Kaufman PA | Kaufman, TX | $117K |
| Perla Dental of Burleson | Burleson, TX | $70K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.