NPI: 1205226412 · BAD AXE, MI 48413 · Federally Qualified Health Center (FQHC) · NPI assigned 01/26/2015
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 01/26/2015 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,478 | $237K |
| 2019 | 3,838 | $230K |
| 2020 | 2,887 | $176K |
| 2021 | 3,189 | $196K |
| 2022 | 2,074 | $123K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 2,793 | 1,390 | $261K |
| D0140 | Limited oral evaluation - problem focused | 1,802 | 1,768 | $189K |
| D1110 | Prophylaxis - adult | 2,572 | 2,565 | $179K |
| D0120 | Periodic oral evaluation - established patient | 2,086 | 2,080 | $132K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,062 | 1,062 | $91K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 157 | 145 | $21K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 143 | 124 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 149 | 122 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 845 | 843 | $17K |
| D0274 | Bitewings - four radiographic images | 1,050 | 1,045 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 2,412 | 2,054 | $9K |
| D2331 | 50 | 44 | $6K | |
| D2330 | 15 | 13 | $2K | |
| D2335 | 14 | 13 | $2K | |
| D2140 | 13 | 12 | $1K | |
| D4355 | 12 | 12 | $1K | |
| D1120 | Prophylaxis - child | 28 | 28 | $1K |
| D1206 | Topical application of fluoride varnish | 29 | 29 | $725.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 166 | 94 | $387.15 |
| D1330 | 41 | 40 | $0.00 | |
| D1310 | 27 | 27 | $0.00 |