NPI: 1487702601 · OLYMPIA, WA 98506 · 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 | 28,396 | $1.44M |
| 2019 | 17,439 | $910K |
| 2020 | 8,012 | $290K |
| 2021 | 2,134 | $113K |
| 2023 | 4,584 | $287K |
| 2024 | 4,980 | $325K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 19,408 | 16,715 | $2.73M |
| D0140 | Limited oral evaluation - problem focused | 5,877 | 5,657 | $137K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,280 | 1,109 | $61K |
| D0120 | Periodic oral evaluation - established patient | 2,819 | 2,733 | $58K |
| D1110 | Prophylaxis - adult | 1,759 | 1,719 | $57K |
| D0220 | Intraoral - periapical first radiographic image | 7,648 | 7,361 | $57K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,875 | 1,819 | $47K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 826 | 661 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 703 | 567 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 980 | 951 | $26K |
| D1206 | Topical application of fluoride varnish | 1,721 | 1,674 | $24K |
| D0274 | Bitewings - four radiographic images | 2,504 | 2,433 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 11,615 | 3,781 | $18K |
| D1999 | 1,512 | 1,297 | $18K | |
| D0270 | 2,298 | 2,132 | $14K | |
| D0330 | Panoramic radiographic image | 341 | 333 | $10K |
| D9110 | 136 | 131 | $9K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 124 | 117 | $8K |
| D1120 | Prophylaxis - child | 210 | 204 | $5K |
| D0190 | 409 | 402 | $4K | |
| D4341 | 78 | 63 | $2K | |
| D4342 | 181 | 155 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | 131 | 131 | $2K |
| D2331 | 24 | 24 | $1K | |
| D0272 | Bitewings - two radiographic images | 151 | 147 | $1K |
| D9992 | 16 | 16 | $225.00 | |
| D0602 | 153 | 146 | $0.00 | |
| D0603 | 766 | 737 | $0.00 |