NPI: 1083981641 · IRVING, TX 75039 · Dentist · NPI assigned 11/28/2011
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 11/28/2011 |
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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 541 | $9K |
| 2021 | 5,025 | $97K |
| 2022 | 6,263 | $132K |
| 2023 | 5,518 | $111K |
| 2024 | 3,342 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,002 | 382 | $92K |
| D1110 | Prophylaxis - adult | 1,126 | 1,084 | $55K |
| D0120 | Periodic oral evaluation - established patient | 1,945 | 1,880 | $52K |
| D0230 | Intraoral - periapical each additional radiographic image | 5,192 | 2,500 | $47K |
| D1120 | Prophylaxis - child | 1,164 | 1,118 | $39K |
| D0274 | Bitewings - four radiographic images | 1,252 | 1,196 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 2,795 | 2,643 | $29K |
| D1206 | Topical application of fluoride varnish | 2,011 | 1,931 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 405 | 383 | $12K |
| D0145 | Oral evaluation for a patient under three years of age | 83 | 81 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 385 | 303 | $9K |
| D0272 | Bitewings - two radiographic images | 308 | 297 | $6K |
| D0330 | Panoramic radiographic image | 225 | 212 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16 | 12 | $1K |
| D1351 | Sealant - per tooth | 48 | 13 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 18 | 18 | $205.80 |
| D0603 | 2,687 | 2,620 | $0.00 | |
| D0602 | 14 | 14 | $0.00 | |
| D0601 | 13 | 13 | $0.00 |