NPI: 1770850331 · WICHITA FALLS, TX 76308 · Dentist · NPI assigned 11/28/2011
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 11/28/2011 |
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 | 1,254 | $46K |
| 2021 | 8,009 | $228K |
| 2022 | 7,612 | $221K |
| 2023 | 7,002 | $191K |
| 2024 | 3,984 | $110K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,768 | 988 | $165K |
| D1110 | Prophylaxis - adult | 3,000 | 2,937 | $152K |
| D0120 | Periodic oral evaluation - established patient | 3,955 | 3,884 | $107K |
| D0274 | Bitewings - four radiographic images | 2,525 | 2,479 | $81K |
| D1206 | Topical application of fluoride varnish | 4,490 | 4,415 | $62K |
| D1120 | Prophylaxis - child | 1,415 | 1,396 | $49K |
| D0210 | Intraoral - complete series of radiographic images | 552 | 546 | $36K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1,255 | 1,152 | $32K |
| D1351 | Sealant - per tooth | 997 | 236 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 287 | 181 | $21K |
| D0145 | Oral evaluation for a patient under three years of age | 145 | 142 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 381 | 372 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 864 | 853 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 845 | 431 | $9K |
| D0272 | Bitewings - two radiographic images | 232 | 229 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 34 | 27 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 26 | 12 | $2K |
| D9243 | 34 | 12 | $1K | |
| D9239 | 13 | 12 | $684.48 | |
| D9610 | 13 | 12 | $215.04 | |
| D0350 | 20 | 16 | $200.34 | |
| D0603 | 4,916 | 4,828 | $0.00 | |
| D0602 | 94 | 94 | $0.00 |