PICASSO DENTAL PLLC

NPI: 1801028071 · WAXAHACHIE, TX 75165 · Dentist · NPI assigned 08/20/2009

$205K

Total Medicaid Paid

14,117

Total Claims

10,649

Beneficiaries

Codes Billed

2020-12

First Month

2024-10

Last Month

Provider Details

Authorized Official	PU, MARY (REGIONAL FINANCE OFFICER)
NPI Enumeration Date	08/20/2009

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	Claims	Beneficiaries	Total Paid
D0230	4,269	1,497	$40K
D1110	832	786	$39K
D0120	1,512	1,416	$37K
D0274	853	801	$24K
D1206	1,613	1,540	$21K
D0220	1,738	1,635	$19K
D1120	282	272	$9K
D1351	269	51	$7K
D1208	238	234	$3K
D2392	30	12	$2K
D0210	38	37	$2K
D0150	41	40	$1K
D0603	2,402	2,328	$0.00