NPI: 1316325616 · PORT ARTHUR, TX 77640 · Dentist · NPI assigned 05/07/2015
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 05/07/2015 |
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 |
| 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 |
|---|---|---|
| 2020 | 1,919 | $46K |
| 2021 | 13,960 | $317K |
| 2022 | 16,371 | $380K |
| 2023 | 15,590 | $377K |
| 2024 | 12,532 | $269K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 14,911 | 2,564 | $388K |
| D0145 | Oral evaluation for a patient under three years of age | 1,238 | 1,216 | $167K |
| D0230 | Intraoral - periapical each additional radiographic image | 14,020 | 2,717 | $147K |
| D1120 | Prophylaxis - child | 3,924 | 3,803 | $134K |
| D0120 | Periodic oral evaluation - established patient | 4,086 | 3,953 | $110K |
| D1110 | Prophylaxis - adult | 1,816 | 1,754 | $92K |
| D1208 | Topical application of fluoride, excluding varnish | 5,767 | 5,597 | $79K |
| D0274 | Bitewings - four radiographic images | 1,812 | 1,766 | $59K |
| D0210 | Intraoral - complete series of radiographic images | 856 | 814 | $54K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 411 | 191 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,107 | 1,051 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 2,825 | 2,731 | $33K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 255 | 66 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 213 | 77 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 54 | 25 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 100 | 86 | $2K |
| D1206 | Topical application of fluoride varnish | 13 | 13 | $191.10 |
| D0603 | 6,964 | 6,769 | $0.00 |