NPI: 1588190359 · VANCOUVER, WA 98686 · Dental Clinic/Center · NPI assigned 05/11/2017
Authorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | BARTOLO, MARY (DEPUTY DIRECTOR) |
| NPI Enumeration Date | 05/11/2017 |
Other providers sharing the same authorized official: BARTOLO, MARY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 666 | $0.00 |
| 2019 | 15,807 | $494K |
| 2020 | 17,657 | $697K |
| 2021 | 12,375 | $688K |
| 2022 | 11,815 | $546K |
| 2023 | 14,728 | $770K |
| 2024 | 14,133 | $693K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 27,030 | 19,143 | $2.82M |
| D0150 | Comprehensive oral evaluation - new or established patient | 4,913 | 4,307 | $160K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,477 | 1,811 | $149K |
| D0120 | Periodic oral evaluation - established patient | 4,580 | 4,063 | $125K |
| D0210 | Intraoral - complete series of radiographic images | 2,819 | 2,483 | $112K |
| D1110 | Prophylaxis - adult | 2,449 | 2,034 | $92K |
| D0140 | Limited oral evaluation - problem focused | 3,863 | 3,347 | $87K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,365 | 902 | $59K |
| D1206 | Topical application of fluoride varnish | 2,254 | 2,134 | $47K |
| D1354 | 8,534 | 1,324 | $40K | |
| D0220 | Intraoral - periapical first radiographic image | 4,939 | 4,363 | $40K |
| D1208 | Topical application of fluoride, excluding varnish | 2,686 | 2,085 | $30K |
| D1999 | 2,580 | 2,069 | $27K | |
| D0274 | Bitewings - four radiographic images | 2,091 | 1,867 | $23K |
| D1120 | Prophylaxis - child | 1,125 | 883 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 6,486 | 1,439 | $12K |
| D0270 | 2,107 | 1,559 | $11K | |
| D1351 | Sealant - per tooth | 891 | 200 | $11K |
| D0272 | Bitewings - two radiographic images | 1,294 | 909 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 74 | 72 | $6K |
| D4342 | 296 | 138 | $5K | |
| D4341 | 82 | 45 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | 35 | 28 | $1K |
| D0601 | 48 | 28 | $0.00 | |
| D0603 | 1,965 | 1,164 | $0.00 | |
| D0602 | 198 | 121 | $0.00 |