NPI: 1447308762 · SEATAC, WA 98148 · Dentist · NPI assigned 01/05/2007
Authorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | BARTOLO, MARY (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 01/05/2007 |
Other providers sharing the same authorized official: BARTOLO, MARY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,623 | $400K |
| 2019 | 10,226 | $494K |
| 2020 | 13,057 | $533K |
| 2021 | 14,851 | $731K |
| 2022 | 17,032 | $784K |
| 2023 | 17,751 | $654K |
| 2024 | 17,069 | $629K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 26,350 | 21,886 | $3.10M |
| D0120 | Periodic oral evaluation - established patient | 4,985 | 4,906 | $136K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,507 | 3,453 | $126K |
| D1110 | Prophylaxis - adult | 2,762 | 2,695 | $116K |
| D0330 | Panoramic radiographic image | 2,827 | 2,770 | $92K |
| D1206 | Topical application of fluoride varnish | 5,188 | 5,095 | $91K |
| D0140 | Limited oral evaluation - problem focused | 2,615 | 2,549 | $74K |
| D4341 | 2,401 | 1,747 | $74K | |
| D0220 | Intraoral - periapical first radiographic image | 7,491 | 7,195 | $70K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,479 | 1,066 | $64K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,137 | 959 | $63K |
| D0274 | Bitewings - four radiographic images | 4,557 | 4,476 | $56K |
| D1120 | Prophylaxis - child | 2,152 | 2,121 | $48K |
| D1354 | 8,561 | 1,205 | $44K | |
| D0230 | Intraoral - periapical each additional radiographic image | 16,524 | 5,582 | $36K |
| D1999 | 1,977 | 1,557 | $24K | |
| D1208 | Topical application of fluoride, excluding varnish | 328 | 315 | $4K |
| D0270 | 593 | 548 | $4K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 35 | 30 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 42 | 29 | $1K |
| D4910 | 44 | 44 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | 44 | 41 | $1K |
| D1351 | Sealant - per tooth | 36 | 12 | $527.52 |
| D0272 | Bitewings - two radiographic images | 52 | 52 | $499.10 |
| D0601 | 126 | 123 | $0.00 | |
| D0603 | 755 | 743 | $0.00 | |
| D0602 | 41 | 41 | $0.00 |