NPI: 1174846711 · WEATHERFORD, TX 76086 · Dentist · NPI assigned 03/10/2010
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (CFO) |
| NPI Enumeration Date | 03/10/2010 |
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 |
|---|---|---|
| 2018 | 63 | $1K |
| 2020 | 899 | $19K |
| 2021 | 9,159 | $190K |
| 2022 | 9,973 | $207K |
| 2023 | 8,793 | $174K |
| 2024 | 5,651 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 3,902 | 3,813 | $106K |
| D1110 | Prophylaxis - adult | 1,932 | 1,886 | $98K |
| D0230 | Intraoral - periapical each additional radiographic image | 7,557 | 3,674 | $79K |
| D1120 | Prophylaxis - child | 2,275 | 2,218 | $77K |
| D0274 | Bitewings - four radiographic images | 2,245 | 2,200 | $73K |
| D1351 | Sealant - per tooth | 2,206 | 277 | $56K |
| D1206 | Topical application of fluoride varnish | 3,918 | 3,819 | $54K |
| D0220 | Intraoral - periapical first radiographic image | 3,943 | 3,825 | $46K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 468 | 248 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 217 | 118 | $20K |
| D0145 | Oral evaluation for a patient under three years of age | 112 | 106 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 216 | 210 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 358 | 352 | $5K |
| D0272 | Bitewings - two radiographic images | 210 | 207 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 144 | 136 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 12 | 12 | $298.21 |
| D0603 | 4,035 | 3,924 | $99.00 | |
| D0601 | 84 | 84 | $0.00 | |
| D0602 | 704 | 696 | $0.00 |