NPI: 1588920995 · IRVING, TX 75039 · Dentist · NPI assigned 04/10/2012
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 04/10/2012 |
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 | 1,584 | $26K |
| 2021 | 8,330 | $143K |
| 2022 | 8,603 | $166K |
| 2023 | 8,791 | $160K |
| 2024 | 5,350 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 3,754 | 3,560 | $95K |
| D1120 | Prophylaxis - child | 2,490 | 2,373 | $81K |
| D1110 | Prophylaxis - adult | 1,484 | 1,412 | $71K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 757 | 343 | $70K |
| D0230 | Intraoral - periapical each additional radiographic image | 7,163 | 3,944 | $64K |
| D0274 | Bitewings - four radiographic images | 2,266 | 2,119 | $58K |
| D1206 | Topical application of fluoride varnish | 3,648 | 3,456 | $48K |
| D0220 | Intraoral - periapical first radiographic image | 4,373 | 4,142 | $46K |
| D0272 | Bitewings - two radiographic images | 779 | 751 | $16K |
| D0145 | Oral evaluation for a patient under three years of age | 56 | 54 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 96 | 53 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 388 | 381 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 76 | 75 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 137 | 131 | $4K |
| D1351 | Sealant - per tooth | 156 | 28 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 116 | 112 | $3K |
| D0330 | Panoramic radiographic image | 83 | 80 | $611.88 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $225.36 |
| D0603 | 4,824 | 4,621 | $0.00 |