NPI: 1588107130 · TACOMA, WA 98409 · Dental Clinic/Center · NPI assigned 11/30/2016
Authorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | BARTOLO, MARY (DEPUTY DIRECTOR) |
| NPI Enumeration Date | 11/30/2016 |
Other providers sharing the same authorized official: BARTOLO, MARY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,827 | $425K |
| 2019 | 12,801 | $553K |
| 2020 | 17,258 | $640K |
| 2021 | 18,174 | $735K |
| 2022 | 14,696 | $577K |
| 2023 | 14,203 | $580K |
| 2024 | 11,697 | $616K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 25,340 | 20,515 | $3.12M |
| D0140 | Limited oral evaluation - problem focused | 6,371 | 6,089 | $170K |
| D0330 | Panoramic radiographic image | 4,117 | 3,984 | $124K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,724 | 3,611 | $124K |
| D0220 | Intraoral - periapical first radiographic image | 11,267 | 10,483 | $104K |
| D1110 | Prophylaxis - adult | 2,106 | 2,038 | $90K |
| D0120 | Periodic oral evaluation - established patient | 2,927 | 2,863 | $85K |
| D0274 | Bitewings - four radiographic images | 5,663 | 5,506 | $67K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,007 | 880 | $53K |
| D0230 | Intraoral - periapical each additional radiographic image | 23,031 | 6,771 | $48K |
| D1206 | Topical application of fluoride varnish | 2,288 | 2,211 | $37K |
| D1999 | 2,449 | 1,934 | $28K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 678 | 516 | $25K |
| D0270 | 2,956 | 2,631 | $17K | |
| D4341 | 529 | 245 | $10K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 54 | 48 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 202 | 144 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 54 | 51 | $3K |
| D7250 | 13 | 12 | $2K | |
| D1120 | Prophylaxis - child | 65 | 65 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 46 | 45 | $1K |
| D0603 | 769 | 736 | $0.00 |