NPI: 1336797273 · TUMWATER, WA 98501 · Dentist · NPI assigned 09/03/2019
Authorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | BARTOLO, MARY (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 09/03/2019 |
Other providers sharing the same authorized official: BARTOLO, MARY
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,548 | $88K |
| 2022 | 14,111 | $751K |
| 2023 | 12,560 | $652K |
| 2024 | 11,623 | $631K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 12,308 | 10,012 | $1.36M |
| D0140 | Limited oral evaluation - problem focused | 2,763 | 2,695 | $91K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,890 | 1,851 | $84K |
| D0120 | Periodic oral evaluation - established patient | 1,958 | 1,938 | $70K |
| D1110 | Prophylaxis - adult | 1,111 | 1,098 | $65K |
| D3310 | 153 | 136 | $60K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 541 | 486 | $45K |
| D0330 | Panoramic radiographic image | 1,064 | 1,047 | $42K |
| D0220 | Intraoral - periapical first radiographic image | 3,665 | 3,531 | $41K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 637 | 538 | $40K |
| D1206 | Topical application of fluoride varnish | 1,733 | 1,711 | $39K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 91 | 88 | $36K |
| D0274 | Bitewings - four radiographic images | 2,143 | 2,118 | $32K |
| D4341 | 935 | 477 | $32K | |
| D3221 | 324 | 308 | $21K | |
| D0230 | Intraoral - periapical each additional radiographic image | 7,980 | 2,663 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 416 | 401 | $20K |
| D9110 | 216 | 205 | $14K | |
| D1120 | Prophylaxis - child | 302 | 300 | $8K |
| D0270 | 431 | 399 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | 21 | 12 | $1K |
| D4342 | 17 | 12 | $387.00 | |
| D0460 | 93 | 66 | $320.10 | |
| D0603 | 50 | 50 | $0.00 |