NPI: 1700104254 · FORT WORTH, TX 76137 · Dentist · NPI assigned 05/07/2010
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (CFO) |
| NPI Enumeration Date | 05/07/2010 |
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 | 839 | $20K |
| 2021 | 6,823 | $155K |
| 2022 | 5,990 | $130K |
| 2023 | 4,305 | $82K |
| 2024 | 2,187 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,358 | 2,327 | $65K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 497 | 308 | $50K |
| D1120 | Prophylaxis - child | 1,339 | 1,313 | $47K |
| D1110 | Prophylaxis - adult | 865 | 853 | $46K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,029 | 2,105 | $43K |
| D0274 | Bitewings - four radiographic images | 1,219 | 1,205 | $40K |
| D1206 | Topical application of fluoride varnish | 2,320 | 2,283 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 2,247 | 2,210 | $27K |
| D1351 | Sealant - per tooth | 724 | 186 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 581 | 563 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | 113 | 110 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 134 | 84 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 86 | 80 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 351 | 347 | $5K |
| D0272 | Bitewings - two radiographic images | 25 | 25 | $582.16 |
| D0603 | 3,256 | 3,216 | $132.00 |