NPI: 1063530848 · SAGINAW, MI 48607 · Federally Qualified Health Center (FQHC) · NPI assigned 03/27/2007
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 03/27/2007 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,225 | $696K |
| 2019 | 9,302 | $718K |
| 2020 | 7,946 | $574K |
| 2021 | 10,636 | $746K |
| 2022 | 10,395 | $835K |
| 2023 | 10,818 | $632K |
| 2024 | 10,044 | $460K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 11,652 | 6,700 | $1.22M |
| D0140 | Limited oral evaluation - problem focused | 10,995 | 10,797 | $1.15M |
| D1110 | Prophylaxis - adult | 5,274 | 5,261 | $414K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,816 | 2,514 | $393K |
| D0120 | Periodic oral evaluation - established patient | 5,239 | 5,232 | $309K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,197 | 3,193 | $296K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,770 | 1,532 | $214K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 925 | 885 | $145K |
| D0210 | Intraoral - complete series of radiographic images | 2,572 | 2,558 | $68K |
| D1120 | Prophylaxis - child | 1,666 | 1,666 | $67K |
| D0220 | Intraoral - periapical first radiographic image | 11,051 | 10,761 | $65K |
| D1206 | Topical application of fluoride varnish | 2,160 | 2,159 | $53K |
| D2331 | 331 | 295 | $48K | |
| D0274 | Bitewings - four radiographic images | 2,682 | 2,679 | $46K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 265 | 248 | $38K |
| D2335 | 227 | 197 | $36K | |
| D4355 | 175 | 175 | $19K | |
| D2330 | 155 | 123 | $19K | |
| D2160 | 68 | 66 | $11K | |
| D0330 | Panoramic radiographic image | 483 | 482 | $10K |
| D1351 | Sealant - per tooth | 237 | 41 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,462 | 1,539 | $7K |
| D5110 | 12 | 12 | $7K | |
| D2332 | 46 | 42 | $6K | |
| D0272 | Bitewings - two radiographic images | 296 | 296 | $6K |
| D0270 | 577 | 575 | $2K | |
| D0603 | 33 | 33 | $0.00 |