CRESCENT DENTAL-SAN MARCOS PLLC

NPI: 1700166634 · SAN MARCOS, TX 78666 · Dentist · NPI assigned 08/23/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$53K

Total Medicaid Paid

2,956

Total Claims

2,872

Beneficiaries

Codes Billed

2020-10

First Month

2022-08

Last Month

Provider Details

Authorized Official	PU, MARY (VP OF FINANCE)
NPI Enumeration Date	08/23/2011

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
D0120	Periodic oral evaluation - established patient	447	443	$12K
D1110	Prophylaxis - adult	235	232	$12K
D0274	Bitewings - four radiographic images	312	309	$10K
D1206	Topical application of fluoride varnish	563	559	$8K
D1120	Prophylaxis - child	101	100	$4K
D0230	Intraoral - periapical each additional radiographic image	292	231	$3K
D0220	Intraoral - periapical first radiographic image	263	259	$3K
D0150	Comprehensive oral evaluation - new or established patient	12	12	$416.78
D0603		731	727	$0.00