MYSA DENTAL PLLC
NPI: 1710587431
· SAN ANTONIO, TX 78253
· Dental Clinic/Center
· NPI assigned 10/30/2020
Provider Details
| Authorized Official | MALHOTRA, KHUSHBU (DENTIST) |
| Parent Organization | MYSA DENTAL PLLC |
| NPI Enumeration Date | 10/30/2020 |
Related Entities
Other providers sharing the same authorized official: MALHOTRA, KHUSHBU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
435 |
$7K |
| 2022 |
585 |
$7K |
| 2023 |
1,400 |
$20K |
| 2024 |
1,511 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
1,433 |
550 |
$12K |
| D0274 |
Bitewings - four radiographic images |
296 |
268 |
$8K |
| D1110 |
Prophylaxis - adult |
182 |
162 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
676 |
620 |
$7K |
| D1206 |
Topical application of fluoride varnish |
426 |
400 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
182 |
168 |
$4K |
| D1351 |
Sealant - per tooth |
183 |
25 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
95 |
91 |
$3K |
| D1120 |
Prophylaxis - child |
68 |
66 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
122 |
117 |
$2K |
| D0603 |
|
142 |
135 |
$0.00 |
| D0602 |
|
54 |
52 |
$0.00 |
| D0601 |
|
72 |
71 |
$0.00 |