NPI: 1205193042 · IRVING, TX 75039 · Dentist · NPI assigned 04/18/2012
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 04/18/2012 |
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 |
| 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 |
| ARCHSTONE DENTAL-GRANBURY PLLC | GRANBURY | TX | $817K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 68 | $1K |
| 2020 | 1,494 | $52K |
| 2021 | 14,867 | $553K |
| 2022 | 12,782 | $363K |
| 2023 | 14,966 | $419K |
| 2024 | 4,122 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4,289 | 1,425 | $389K |
| D0120 | Periodic oral evaluation - established patient | 6,425 | 6,186 | $173K |
| D1110 | Prophylaxis - adult | 3,152 | 3,050 | $159K |
| D1120 | Prophylaxis - child | 4,211 | 4,045 | $142K |
| D1351 | Sealant - per tooth | 4,290 | 681 | $107K |
| D1208 | Topical application of fluoride, excluding varnish | 7,267 | 7,005 | $100K |
| D0274 | Bitewings - four radiographic images | 2,667 | 2,572 | $86K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 980 | 432 | $69K |
| D0210 | Intraoral - complete series of radiographic images | 1,025 | 978 | $63K |
| D0272 | Bitewings - two radiographic images | 2,679 | 2,599 | $60K |
| D7240 | Removal of impacted tooth - completely bony | 227 | 57 | $50K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1,628 | 1,523 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 499 | 463 | $16K |
| D0145 | Oral evaluation for a patient under three years of age | 89 | 87 | $12K |
| D0140 | Limited oral evaluation - problem focused | 659 | 631 | $11K |
| D9243 | 188 | 57 | $5K | |
| D9239 | 62 | 56 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | 220 | 209 | $3K |
| D9612 | 62 | 56 | $2K | |
| D1206 | Topical application of fluoride varnish | 76 | 69 | $895.23 |
| D0330 | Panoramic radiographic image | 20 | 20 | $721.09 |
| D0270 | 50 | 49 | $234.71 | |
| D0603 | 7,534 | 7,301 | $0.00 |