NPI: 1437489911 · BAY CITY, MI 48706 · Federally Qualified Health Center (FQHC) · NPI assigned 01/06/2010
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 01/06/2010 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,151 | $899K |
| 2019 | 12,172 | $839K |
| 2020 | 9,217 | $581K |
| 2021 | 10,781 | $703K |
| 2022 | 11,383 | $809K |
| 2023 | 12,168 | $772K |
| 2024 | 9,099 | $476K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 11,930 | 6,434 | $1.14M |
| D0140 | Limited oral evaluation - problem focused | 10,793 | 10,617 | $1.05M |
| D1110 | Prophylaxis - adult | 6,842 | 6,825 | $532K |
| D0120 | Periodic oral evaluation - established patient | 7,230 | 7,220 | $421K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,204 | 2,003 | $312K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,283 | 3,275 | $300K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2,285 | 1,977 | $268K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 718 | 696 | $119K |
| D2331 | 774 | 660 | $109K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 774 | 676 | $98K |
| D1120 | Prophylaxis - child | 2,306 | 2,304 | $90K |
| D1206 | Topical application of fluoride varnish | 3,359 | 3,355 | $82K |
| D0220 | Intraoral - periapical first radiographic image | 11,358 | 11,084 | $71K |
| D0274 | Bitewings - four radiographic images | 3,997 | 3,990 | $70K |
| D2335 | 361 | 338 | $62K | |
| D0210 | Intraoral - complete series of radiographic images | 2,549 | 2,542 | $62K |
| D4355 | 486 | 484 | $57K | |
| D5110 | 76 | 76 | $45K | |
| D2330 | 299 | 243 | $36K | |
| D2332 | 217 | 201 | $33K | |
| D2160 | 205 | 189 | $30K | |
| D2140 | 260 | 224 | $26K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 98 | 94 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,248 | 2,104 | $10K |
| D0191 | 1,124 | 1,117 | $9K | |
| D0330 | Panoramic radiographic image | 280 | 279 | $8K |
| D0272 | Bitewings - two radiographic images | 413 | 413 | $8K |
| D5120 | 13 | 13 | $8K | |
| D2394 | 14 | 14 | $2K | |
| D1351 | Sealant - per tooth | 65 | 19 | $2K |
| D0270 | 253 | 253 | $707.80 | |
| D1310 | 50 | 50 | $0.00 | |
| D0603 | 44 | 44 | $0.00 | |
| D1330 | 50 | 50 | $0.00 | |
| D0602 | 13 | 12 | $0.00 |