NPI: 1326342205 · SHERMAN, TX 75092 · Dentist · NPI assigned 01/06/2011
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (CFO) |
| NPI Enumeration Date | 01/06/2011 |
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 |
| 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 | 1,183 | $29K |
| 2021 | 10,185 | $244K |
| 2022 | 12,025 | $328K |
| 2023 | 13,507 | $357K |
| 2024 | 9,734 | $217K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,621 | 1,260 | $241K |
| D0145 | Oral evaluation for a patient under three years of age | 895 | 879 | $120K |
| D0120 | Periodic oral evaluation - established patient | 4,578 | 4,375 | $120K |
| D1120 | Prophylaxis - child | 3,402 | 3,254 | $111K |
| D1110 | Prophylaxis - adult | 2,173 | 2,089 | $105K |
| D0274 | Bitewings - four radiographic images | 2,820 | 2,706 | $85K |
| D1206 | Topical application of fluoride varnish | 5,449 | 5,222 | $72K |
| D0230 | Intraoral - periapical each additional radiographic image | 6,802 | 4,360 | $69K |
| D0220 | Intraoral - periapical first radiographic image | 4,839 | 4,640 | $55K |
| D0210 | Intraoral - complete series of radiographic images | 730 | 673 | $41K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 528 | 339 | $37K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1,409 | 1,298 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,193 | 1,100 | $35K |
| D1351 | Sealant - per tooth | 1,298 | 263 | $30K |
| D0272 | Bitewings - two radiographic images | 805 | 770 | $17K |
| D0330 | Panoramic radiographic image | 16 | 16 | $956.70 |
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $176.40 |
| D0603 | 6,925 | 6,765 | $0.00 | |
| D0602 | 95 | 92 | $0.00 | |
| D0601 | 44 | 44 | $0.00 |