LEGEND DENTAL PLLC

NPI: 1003111006 · AUSTIN, TX 78757 · Dentist · NPI assigned 01/21/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PU, MARY controls 20+ related entities in our dataset. Read more

$56K

Total Medicaid Paid

4,157

Total Claims

3,839

Beneficiaries

Codes Billed

2021-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	PU, MARY (CFO)
NPI Enumeration Date	01/21/2011

Other providers sharing the same authorized official: PU, MARY

Provider	City	State	Total Paid
RED ROCK DENTAL-FARMINGTON	IRVING	TX	$3.59M
SAGE DENTAL	BAYTOWN	TX	$2.35M
PEPPERMINT DENTAL-MONTGOMERY LLC	ALBUQUERQUE	NM	$2.14M
SAGE DENTAL-DEER PARK PLLC	LA PORTE	TX	$1.87M
VINH NGO DENTISTRY PLLC	VICTORIA	TX	$1.65M
ELEMENT DENTAL-BRYAN PLLC	BRYAN	TX	$1.57M
FUSION DENTAL	IRVING	TX	$1.49M
ELEMENT DENTAL-CONROE PLLC	IRVING	TX	$1.49M
GULFSIDE DENTAL PORT ARTHUR PLLC	PORT ARTHUR	TX	$1.39M
PEPPERMINT DENTAL-RIO BRAVO LLC	ALBUQUERQUE	NM	$1.29M
FRESH DENTAL-SHREVEPORT	IRVING	TX	$1.27M
FRESH DENTAL-BOSSIER CITY	IRVING	TX	$1.21M
PEPPERMINT DENTAL-SHERMAN PLLC	SHERMAN	TX	$1.17M
ELEMENT DENTAL PLLC	LUFKIN	TX	$1.06M
RIO DENTAL AND ORTHODONTICS LLC	RIO RANCHO	NM	$1.00M
ELEMENT DENTAL-HUMBLE PLLC	HUMBLE	TX	$942K
GULFSIDE DENTAL	BEAUMONT	TX	$939K
LEGEND DENTAL-GEORGETOWN	GEORGETOWN	TX	$919K
BLISS DENTAL PLLC	ODESSA	TX	$827K
BLISS DENTAL LUBBOCK PLLC	LUBBOCK	TX	$826K

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	607	578	$16K
D1206	Topical application of fluoride varnish	613	582	$8K
D0220	Intraoral - periapical first radiographic image	709	674	$7K
D0230	Intraoral - periapical each additional radiographic image	781	612	$7K
D1120	Prophylaxis - child	203	196	$6K
D1110	Prophylaxis - adult	96	93	$5K
D0274	Bitewings - four radiographic images	140	137	$4K
D1208	Topical application of fluoride, excluding varnish	188	186	$3K
D0602		44	43	$0.00
D0603		776	738	$0.00