NPI: 1801176714 · BRYAN, TX 77802 · Dentist · NPI assigned 08/23/2011
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| 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 |
| 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 |
| ARCHSTONE DENTAL-GRANBURY PLLC | GRANBURY | TX | $817K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,738 | $56K |
| 2021 | 21,756 | $484K |
| 2022 | 18,266 | $446K |
| 2023 | 14,877 | $342K |
| 2024 | 11,422 | $245K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,241 | 1,317 | $297K |
| D1110 | Prophylaxis - adult | 3,690 | 3,550 | $182K |
| D0120 | Periodic oral evaluation - established patient | 6,627 | 6,382 | $175K |
| D1351 | Sealant - per tooth | 6,248 | 1,236 | $159K |
| D0274 | Bitewings - four radiographic images | 4,456 | 4,266 | $132K |
| D1120 | Prophylaxis - child | 3,611 | 3,464 | $120K |
| D0230 | Intraoral - periapical each additional radiographic image | 12,241 | 7,666 | $119K |
| D0220 | Intraoral - periapical first radiographic image | 8,531 | 8,146 | $92K |
| D1206 | Topical application of fluoride varnish | 6,669 | 6,396 | $90K |
| D0145 | Oral evaluation for a patient under three years of age | 642 | 632 | $89K |
| D0272 | Bitewings - two radiographic images | 1,616 | 1,563 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,058 | 968 | $33K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 219 | 138 | $20K |
| D0330 | Panoramic radiographic image | 856 | 788 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 859 | 841 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 44 | 27 | $3K |
| D0140 | Limited oral evaluation - problem focused | 134 | 127 | $3K |
| D0602 | 2,879 | 2,795 | $0.00 | |
| D0603 | 3,431 | 3,317 | $0.00 | |
| D0601 | 2,007 | 1,949 | $0.00 |