NPI: 1265824163 · HUNTSVILLE, TX 77340 · Dentist · NPI assigned 03/02/2015
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 03/02/2015 |
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 | 933 | $15K |
| 2021 | 7,809 | $146K |
| 2022 | 7,410 | $149K |
| 2023 | 6,056 | $111K |
| 2024 | 2,672 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,737 | 2,682 | $74K |
| D1110 | Prophylaxis - adult | 1,289 | 1,266 | $66K |
| D1120 | Prophylaxis - child | 1,806 | 1,767 | $62K |
| D0230 | Intraoral - periapical each additional radiographic image | 5,536 | 3,162 | $57K |
| D0274 | Bitewings - four radiographic images | 1,678 | 1,633 | $48K |
| D1206 | Topical application of fluoride varnish | 2,898 | 2,847 | $40K |
| D0220 | Intraoral - periapical first radiographic image | 3,503 | 3,407 | $39K |
| D0145 | Oral evaluation for a patient under three years of age | 244 | 244 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 164 | 88 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 317 | 309 | $10K |
| D0272 | Bitewings - two radiographic images | 343 | 333 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 56 | 40 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 328 | 314 | $4K |
| D0330 | Panoramic radiographic image | 168 | 164 | $2K |
| D1351 | Sealant - per tooth | 100 | 13 | $2K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 33 | 12 | $1K |
| D9222 | 13 | 12 | $702.00 | |
| D9310 | 29 | 28 | $408.38 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 14 | 14 | $379.54 |
| D0602 | 1,172 | 1,155 | $0.00 | |
| D0603 | 1,370 | 1,326 | $0.00 | |
| D0601 | 1,082 | 1,066 | $0.00 |