NPI: 1194096925 · FORT WORTH, TX 76132 · Dentist · NPI assigned 01/25/2012
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 01/25/2012 |
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 | 686 | $9K |
| 2021 | 6,703 | $119K |
| 2022 | 5,121 | $90K |
| 2023 | 4,950 | $88K |
| 2024 | 2,094 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,232 | 2,156 | $60K |
| D1351 | Sealant - per tooth | 2,376 | 452 | $52K |
| D1120 | Prophylaxis - child | 1,305 | 1,255 | $43K |
| D0274 | Bitewings - four radiographic images | 1,463 | 1,402 | $42K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,588 | 2,137 | $37K |
| D1110 | Prophylaxis - adult | 650 | 630 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 2,347 | 2,260 | $27K |
| D1206 | Topical application of fluoride varnish | 1,525 | 1,482 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 131 | 58 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 711 | 691 | $10K |
| D0145 | Oral evaluation for a patient under three years of age | 44 | 43 | $6K |
| D0272 | Bitewings - two radiographic images | 52 | 49 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $459.16 |
| D0603 | 3,117 | 3,014 | $66.02 |