NPI: 1477841286 · LA PORTE, TX 77571 · Dentist · NPI assigned 07/13/2011
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP FINANCE) |
| NPI Enumeration Date | 07/13/2011 |
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 |
| 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 |
| ARCHSTONE DENTAL-GRANBURY PLLC | GRANBURY | TX | $817K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,814 | $61K |
| 2021 | 17,760 | $676K |
| 2022 | 16,099 | $571K |
| 2023 | 12,513 | $311K |
| 2024 | 9,522 | $248K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6,632 | 2,135 | $622K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4,984 | 1,622 | $364K |
| D0120 | Periodic oral evaluation - established patient | 4,864 | 4,601 | $127K |
| D1120 | Prophylaxis - child | 3,411 | 3,245 | $114K |
| D0230 | Intraoral - periapical each additional radiographic image | 10,803 | 4,857 | $111K |
| D1110 | Prophylaxis - adult | 2,001 | 1,894 | $97K |
| D0145 | Oral evaluation for a patient under three years of age | 560 | 536 | $76K |
| D0274 | Bitewings - four radiographic images | 2,449 | 2,288 | $74K |
| D1206 | Topical application of fluoride varnish | 5,186 | 4,925 | $69K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2,657 | 2,496 | $69K |
| D0220 | Intraoral - periapical first radiographic image | 5,473 | 5,158 | $61K |
| D2330 | 525 | 253 | $36K | |
| D1351 | Sealant - per tooth | 404 | 110 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 338 | 328 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 164 | 160 | $10K |
| D0272 | Bitewings - two radiographic images | 443 | 429 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 412 | 402 | $6K |
| D0140 | Limited oral evaluation - problem focused | 25 | 25 | $394.38 |
| D0330 | Panoramic radiographic image | 16 | 16 | $139.15 |
| D0603 | 6,017 | 5,742 | $0.00 | |
| D0602 | 344 | 329 | $0.00 |