NPI: 1881041507 · LOCKHART, TX 78644 · Dentist · NPI assigned 05/23/2016
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 05/23/2016 |
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 |
|---|---|---|
| 2021 | 2,650 | $53K |
| 2022 | 1,405 | $28K |
| 2023 | 806 | $12K |
| 2024 | 483 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 796 | 773 | $22K |
| D1110 | Prophylaxis - adult | 271 | 262 | $14K |
| D1120 | Prophylaxis - child | 411 | 398 | $14K |
| D0274 | Bitewings - four radiographic images | 413 | 398 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 788 | 761 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 627 | 468 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | 41 | 41 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 501 | 477 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 46 | 28 | $3K |
| D1206 | Topical application of fluoride varnish | 166 | 162 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | 56 | 55 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 26 | 24 | $801.77 |
| D0603 | 1,180 | 1,143 | $0.00 |