NPI: 1326463555 · WACO, TX 76712 · Dentist · NPI assigned 02/25/2014
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 02/25/2014 |
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 | 184 | $3K |
| 2021 | 1,949 | $35K |
| 2022 | 751 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 465 | 436 | $10K |
| D1110 | Prophylaxis - adult | 207 | 196 | $9K |
| D1120 | Prophylaxis - child | 252 | 237 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | 56 | 52 | $7K |
| D1206 | Topical application of fluoride varnish | 607 | 570 | $7K |
| D0274 | Bitewings - four radiographic images | 246 | 222 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 160 | 147 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 100 | 36 | $761.68 |
| D0150 | Comprehensive oral evaluation - new or established patient | 39 | 36 | $741.72 |
| D0220 | Intraoral - periapical first radiographic image | 58 | 52 | $501.14 |
| D0330 | Panoramic radiographic image | 25 | 24 | $395.27 |
| D0180 | 30 | 28 | $23.58 | |
| D0602 | 284 | 266 | $0.00 | |
| D0603 | 355 | 329 | $0.00 |