NPI: 1295067783 · SAGINAW, MI 48607 · Federally Qualified Health Center (FQHC) · NPI assigned 02/08/2010
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 02/08/2010 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,514 | $411K |
| 2019 | 13,979 | $373K |
| 2020 | 4,665 | $105K |
| 2021 | 8,454 | $213K |
| 2022 | 11,540 | $311K |
| 2023 | 16,118 | $498K |
| 2024 | 13,577 | $430K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 18,089 | 18,061 | $711K |
| D0120 | Periodic oral evaluation - established patient | 17,977 | 17,961 | $481K |
| D1206 | Topical application of fluoride varnish | 18,487 | 18,463 | $455K |
| D1351 | Sealant - per tooth | 11,756 | 4,491 | $335K |
| D1110 | Prophylaxis - adult | 3,049 | 3,045 | $124K |
| D7140 | Extraction, erupted tooth or exposed root | 3,055 | 1,719 | $84K |
| D0140 | Limited oral evaluation - problem focused | 2,651 | 2,606 | $45K |
| D0191 | 2,799 | 2,792 | $38K | |
| D0210 | Intraoral - complete series of radiographic images | 514 | 514 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 728 | 728 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 2,683 | 2,636 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 211 | 188 | $10K |
| D0274 | Bitewings - four radiographic images | 420 | 420 | $7K |
| D4355 | 52 | 51 | $5K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 98 | 88 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | 24 | 24 | $828.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 16 | 12 | $659.52 |
| D0230 | Intraoral - periapical each additional radiographic image | 111 | 104 | $494.95 |
| D0603 | 15 | 13 | $0.00 | |
| D1330 | 56 | 54 | $0.00 | |
| D1310 | 56 | 54 | $0.00 |