NPI: 1801341102 · BELTON, TX 76513 · Dentist · NPI assigned 08/17/2016
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 08/17/2016 |
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 | 376 | $5K |
| 2021 | 1,338 | $23K |
| 2022 | 12 | $176.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 203 | 192 | $5K |
| D1120 | Prophylaxis - child | 106 | 101 | $3K |
| D1110 | Prophylaxis - adult | 83 | 78 | $3K |
| D1206 | Topical application of fluoride varnish | 253 | 247 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 30 | 13 | $3K |
| D0274 | Bitewings - four radiographic images | 120 | 112 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 248 | 239 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 230 | 201 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 20 | 17 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 63 | 60 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 38 | 34 | $307.23 |
| D0272 | Bitewings - two radiographic images | 14 | 13 | $184.70 |
| D0603 | 302 | 292 | $0.00 | |
| D0602 | 16 | 16 | $0.00 |