NPI: 1275842825 · FORNEY, TX 75126 · Dentist · NPI assigned 09/30/2010
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 09/30/2010 |
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 |
|---|---|---|
| 2020 | 651 | $17K |
| 2021 | 5,669 | $139K |
| 2022 | 6,378 | $168K |
| 2023 | 4,996 | $116K |
| 2024 | 3,938 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 3,594 | 3,460 | $94K |
| D1110 | Prophylaxis - adult | 1,849 | 1,763 | $89K |
| D1120 | Prophylaxis - child | 2,417 | 2,355 | $80K |
| D0274 | Bitewings - four radiographic images | 2,073 | 1,990 | $64K |
| D1208 | Topical application of fluoride, excluding varnish | 4,420 | 4,264 | $59K |
| D0145 | Oral evaluation for a patient under three years of age | 412 | 406 | $57K |
| D0210 | Intraoral - complete series of radiographic images | 439 | 419 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 165 | 54 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 506 | 481 | $15K |
| D0272 | Bitewings - two radiographic images | 403 | 397 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 49 | 13 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 316 | 310 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 360 | 123 | $3K |
| D0602 | 4,205 | 4,155 | $0.00 | |
| D0603 | 333 | 324 | $0.00 | |
| D0601 | 91 | 88 | $0.00 |