NPI: 1861641995 · ROWLETT, TX 75089 · Dentist · NPI assigned 09/12/2008
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (REGIONAL FINANCE OFFICER) |
| NPI Enumeration Date | 09/12/2008 |
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 | 1,188 | $28K |
| 2021 | 7,890 | $198K |
| 2022 | 7,777 | $204K |
| 2023 | 6,490 | $144K |
| 2024 | 3,276 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,980 | 1,870 | $97K |
| D0120 | Periodic oral evaluation - established patient | 3,566 | 3,365 | $93K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 883 | 426 | $84K |
| D1120 | Prophylaxis - child | 2,075 | 1,976 | $69K |
| D0274 | Bitewings - four radiographic images | 1,957 | 1,851 | $62K |
| D1208 | Topical application of fluoride, excluding varnish | 4,252 | 4,022 | $57K |
| D0145 | Oral evaluation for a patient under three years of age | 229 | 222 | $31K |
| D1351 | Sealant - per tooth | 1,145 | 281 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 430 | 403 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 1,823 | 1,720 | $21K |
| D0272 | Bitewings - two radiographic images | 911 | 868 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,788 | 1,622 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 448 | 426 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 180 | 80 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 484 | 430 | $12K |
| D0603 | 1,191 | 1,150 | $0.00 | |
| D0602 | 3,262 | 3,145 | $0.00 | |
| D0601 | 17 | 17 | $0.00 |