CRESCENT DENTAL PLLC

NPI: 1558656355 · SEGUIN, TX 78155 · Dentist · NPI assigned 06/09/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PU, MARY controls 20+ related entities in our dataset. Read more

$42K

Total Medicaid Paid

2,740

Total Claims

2,506

Beneficiaries

Codes Billed

2020-10

First Month

2022-04

Last Month

Provider Details

Authorized Official	PU, MARY (CFO)
NPI Enumeration Date	06/09/2011

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
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

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	196	189	$10K
D0274	Bitewings - four radiographic images	261	250	$7K
D0120	Periodic oral evaluation - established patient	239	228	$6K
D1206	Topical application of fluoride varnish	403	386	$5K
D0230	Intraoral - periapical each additional radiographic image	515	380	$5K
D0220	Intraoral - periapical first radiographic image	440	421	$5K
D1120	Prophylaxis - child	99	94	$3K
D0150	Comprehensive oral evaluation - new or established patient	46	43	$1K
D0330	Panoramic radiographic image	26	25	$440.77
D0603		515	490	$0.00