NPI: 1245876580 · VANCOUVER, WA 98662 · Dentist · NPI assigned 11/21/2019
Authorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | BARTOLO, MARY (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 11/21/2019 |
Other providers sharing the same authorized official: BARTOLO, MARY
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 7,214 | $264K |
| 2021 | 11,353 | $601K |
| 2022 | 13,454 | $723K |
| 2023 | 12,737 | $779K |
| 2024 | 10,777 | $720K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 16,801 | 12,584 | $2.14M |
| D0140 | Limited oral evaluation - problem focused | 5,419 | 5,288 | $170K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,984 | 2,918 | $112K |
| D7140 | Extraction, erupted tooth or exposed root | 1,614 | 1,236 | $90K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,170 | 968 | $88K |
| D1110 | Prophylaxis - adult | 1,416 | 1,397 | $72K |
| D0210 | Intraoral - complete series of radiographic images | 1,614 | 1,579 | $70K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 918 | 667 | $54K |
| D0220 | Intraoral - periapical first radiographic image | 4,362 | 4,213 | $44K |
| D0120 | Periodic oral evaluation - established patient | 1,279 | 1,266 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 1,859 | 1,846 | $37K |
| D4341 | 625 | 287 | $25K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 196 | 181 | $21K |
| D1999 | 1,688 | 1,179 | $16K | |
| D0270 | 2,191 | 1,749 | $16K | |
| D0330 | Panoramic radiographic image | 613 | 606 | $15K |
| D1120 | Prophylaxis - child | 639 | 634 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 5,706 | 1,206 | $13K |
| D0274 | Bitewings - four radiographic images | 832 | 825 | $12K |
| D1206 | Topical application of fluoride varnish | 490 | 472 | $9K |
| D1354 | 1,936 | 414 | $9K | |
| D0272 | Bitewings - two radiographic images | 815 | 643 | $7K |
| D1351 | Sealant - per tooth | 259 | 80 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 27 | 24 | $2K |
| D4342 | 26 | 12 | $238.83 | |
| D0603 | 56 | 56 | $0.00 |