NPI: 1093000804 · TYLER, TX 75704 · Dentist · NPI assigned 06/09/2011
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (CFO) |
| NPI Enumeration Date | 06/09/2011 |
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 | 972 | $15K |
| 2021 | 8,465 | $149K |
| 2022 | 3,765 | $68K |
| 2023 | 2,152 | $26K |
| 2024 | 599 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,137 | 1,038 | $51K |
| D0120 | Periodic oral evaluation - established patient | 1,713 | 1,588 | $42K |
| D1120 | Prophylaxis - child | 1,127 | 1,063 | $35K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,404 | 1,841 | $30K |
| D0274 | Bitewings - four radiographic images | 1,128 | 1,033 | $29K |
| D1206 | Topical application of fluoride varnish | 1,928 | 1,795 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 2,148 | 1,944 | $21K |
| D0145 | Oral evaluation for a patient under three years of age | 75 | 74 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 53 | 26 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 159 | 144 | $5K |
| D1351 | Sealant - per tooth | 131 | 27 | $3K |
| D0272 | Bitewings - two radiographic images | 130 | 127 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 27 | 27 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 64 | 53 | $2K |
| D0330 | Panoramic radiographic image | 155 | 144 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 26 | 25 | $367.50 |
| D0603 | 2,533 | 2,393 | $153.00 | |
| D0601 | 15 | 15 | $0.00 |