NPI: 1689192940 · BATTLE GROUND, WA 98604 · Dentist · NPI assigned 09/06/2017
Authorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | BARTOLO, MARY (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 09/06/2017 |
Other providers sharing the same authorized official: BARTOLO, MARY
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 5,732 | $92K |
| 2021 | 10,232 | $510K |
| 2022 | 16,323 | $825K |
| 2023 | 12,819 | $678K |
| 2024 | 10,655 | $660K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 17,177 | 12,829 | $1.78M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,095 | 1,512 | $154K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,167 | 2,941 | $120K |
| D1110 | Prophylaxis - adult | 1,898 | 1,838 | $100K |
| D0120 | Periodic oral evaluation - established patient | 2,735 | 2,683 | $92K |
| D0210 | Intraoral - complete series of radiographic images | 1,886 | 1,769 | $87K |
| D0140 | Limited oral evaluation - problem focused | 2,704 | 2,501 | $76K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,287 | 892 | $73K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 549 | 456 | $55K |
| D0220 | Intraoral - periapical first radiographic image | 3,807 | 3,466 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 1,632 | 1,556 | $31K |
| D1206 | Topical application of fluoride varnish | 1,205 | 1,182 | $28K |
| D1351 | Sealant - per tooth | 1,308 | 397 | $27K |
| D0272 | Bitewings - two radiographic images | 2,286 | 2,204 | $23K |
| D1120 | Prophylaxis - child | 779 | 739 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 5,431 | 1,334 | $12K |
| D0270 | 1,558 | 1,170 | $10K | |
| D1999 | 1,413 | 727 | $8K | |
| D4342 | 371 | 186 | $8K | |
| D1354 | 1,460 | 275 | $7K | |
| D0274 | Bitewings - four radiographic images | 437 | 430 | $6K |
| D4341 | 282 | 62 | $4K | |
| D0330 | Panoramic radiographic image | 78 | 78 | $3K |
| D2331 | 40 | 26 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | 30 | 27 | $2K |
| D0603 | 146 | 146 | $0.00 |