Clinic
Mysa Dental PLLC
Mysa Dental PLLC was paid $55K by Medicaid between Sep 2021 and Nov 2024, across 13 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 23% of everything it billed.
33Billing provider infoMYSA DENTAL PLLC
SAN ANTONIO, TX 78253
SAN ANTONIO, TX 78253
33aNPI1710587431assigned 10/30/2020
33bProvider typeDental Clinic/Center
28Total paid$55K
24GClaims3,931
24DCodes billed13
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#154 of 255
Median peer was paid$110K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 435 | $7K | |
| 2022 | 585 | $7K | |
| 2023 | 1,400 | $20K | |
| 2024incomplete | 1,511 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 23% | 1,433 | 550 | $12K |
| D0274 | Bitewings - four radiographic images | 15% | 296 | 268 | $8K |
| D1110 | Prophylaxis - adult | 14% | 182 | 162 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 676 | 620 | $7K |
| D1206 | Topical application of fluoride varnish | 10.0% | 426 | 400 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 182 | 168 | $4K |
| D1351 | Sealant - per tooth | 5.7% | 183 | 25 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 95 | 91 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 68 | 66 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 122 | 117 | $2K |
| D0603 | 0% | 142 | 135 | $0.00 | |
| D0602 | 0% | 54 | 52 | $0.00 |
1 more codes
| D0601 | 0% | 72 | $0.00 |
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 officialMALHOTRA, KHUSHBU (DENTIST)
Parent organizationMYSA DENTAL PLLC
| Provider | Location | Paid |
|---|---|---|
| Vaani Dental PLLC | Portland, TX | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.