NPI: 1730484734 · GRANBURY, TX 76048 · Dentist · NPI assigned 01/21/2011
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (CFO) |
| NPI Enumeration Date | 01/21/2011 |
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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,120 | $34K |
| 2021 | 12,090 | $309K |
| 2022 | 8,858 | $211K |
| 2023 | 7,564 | $184K |
| 2024 | 4,719 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,928 | 979 | $189K |
| D0120 | Periodic oral evaluation - established patient | 3,741 | 3,610 | $100K |
| D1110 | Prophylaxis - adult | 1,808 | 1,737 | $90K |
| D0230 | Intraoral - periapical each additional radiographic image | 7,574 | 3,137 | $79K |
| D1120 | Prophylaxis - child | 2,129 | 2,063 | $73K |
| D0274 | Bitewings - four radiographic images | 1,993 | 1,913 | $63K |
| D1206 | Topical application of fluoride varnish | 3,619 | 3,490 | $49K |
| D0220 | Intraoral - periapical first radiographic image | 3,473 | 3,341 | $40K |
| D0210 | Intraoral - complete series of radiographic images | 623 | 608 | $39K |
| D1351 | Sealant - per tooth | 1,101 | 234 | $30K |
| D0145 | Oral evaluation for a patient under three years of age | 165 | 161 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 181 | 113 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 68 | 41 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 456 | 443 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 231 | 223 | $6K |
| D0272 | Bitewings - two radiographic images | 203 | 202 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 125 | 122 | $4K |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $244.27 |
| D0603 | 4,921 | 4,843 | $99.02 |