NPI: 1609132612 · BEAUMONT, TX 77706 · Dentist · NPI assigned 04/03/2012
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 04/03/2012 |
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 |
| 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 | 1,658 | $34K |
| 2021 | 10,396 | $253K |
| 2022 | 10,811 | $239K |
| 2023 | 12,502 | $245K |
| 2024 | 8,362 | $168K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 4,110 | 3,945 | $138K |
| D1351 | Sealant - per tooth | 5,145 | 814 | $133K |
| D1110 | Prophylaxis - adult | 2,187 | 2,106 | $106K |
| D0230 | Intraoral - periapical each additional radiographic image | 9,198 | 2,447 | $94K |
| D0120 | Periodic oral evaluation - established patient | 3,325 | 3,144 | $86K |
| D0145 | Oral evaluation for a patient under three years of age | 554 | 543 | $72K |
| D0274 | Bitewings - four radiographic images | 2,253 | 2,175 | $71K |
| D1206 | Topical application of fluoride varnish | 4,651 | 4,463 | $62K |
| D0210 | Intraoral - complete series of radiographic images | 846 | 796 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 2,729 | 2,623 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,064 | 977 | $31K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 202 | 90 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 1,383 | 1,341 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 169 | 63 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 58 | 25 | $5K |
| D0603 | 5,842 | 5,689 | $0.03 | |
| D0602 | 13 | 13 | $0.00 |