NPI: 1427401116 · AZLE, TX 76020 · Dentist · NPI assigned 07/18/2016
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 07/18/2016 |
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 | 407 | $7K |
| 2021 | 3,842 | $60K |
| 2022 | 4,121 | $66K |
| 2023 | 2,734 | $41K |
| 2024 | 1,415 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,241 | 1,168 | $31K |
| D1351 | Sealant - per tooth | 1,215 | 193 | $28K |
| D1120 | Prophylaxis - child | 885 | 833 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,412 | 1,260 | $24K |
| D0274 | Bitewings - four radiographic images | 772 | 715 | $20K |
| D1110 | Prophylaxis - adult | 401 | 380 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1,484 | 1,393 | $16K |
| D1206 | Topical application of fluoride varnish | 1,125 | 1,068 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | 51 | 50 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 157 | 140 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 302 | 280 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 51 | 42 | $2K |
| D0603 | 2,411 | 2,235 | $99.00 | |
| D0602 | 12 | 12 | $0.00 |