NPI: 1992225106 · CUERO, TX 77954 · Dentist · NPI assigned 06/20/2017
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (VP OF FINANCE) |
| NPI Enumeration Date | 06/20/2017 |
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 | 837 | $21K |
| 2021 | 6,662 | $184K |
| 2022 | 7,694 | $203K |
| 2023 | 9,331 | $214K |
| 2024 | 5,602 | $126K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 931 | 916 | $129K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,066 | 463 | $103K |
| D1120 | Prophylaxis - child | 2,388 | 2,357 | $83K |
| D0120 | Periodic oral evaluation - established patient | 2,995 | 2,956 | $82K |
| D1110 | Prophylaxis - adult | 1,350 | 1,316 | $68K |
| D1351 | Sealant - per tooth | 2,514 | 294 | $68K |
| D1206 | Topical application of fluoride varnish | 3,634 | 3,591 | $51K |
| D0230 | Intraoral - periapical each additional radiographic image | 5,184 | 2,261 | $49K |
| D0274 | Bitewings - four radiographic images | 1,112 | 1,081 | $30K |
| D0220 | Intraoral - periapical first radiographic image | 2,571 | 2,497 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 717 | 692 | $23K |
| D0330 | Panoramic radiographic image | 366 | 354 | $14K |
| D0272 | Bitewings - two radiographic images | 651 | 642 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 52 | 31 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 33 | 28 | $804.98 |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $777.04 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $251.26 |
| D0603 | 2,189 | 2,160 | $0.00 | |
| D0602 | 378 | 373 | $0.00 | |
| D0601 | 1,971 | 1,947 | $0.00 |