NPI: 1710769724 · SAGINAW, MI 48607 · Bus · NPI assigned 10/16/2023
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 10/16/2023 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 241 | $9K |
| 2024 | 1,363 | $42K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 485 | 484 | $22K |
| D1206 | Topical application of fluoride varnish | 512 | 511 | $14K |
| D0120 | Periodic oral evaluation - established patient | 286 | 285 | $9K |
| D1351 | Sealant - per tooth | 118 | 29 | $4K |
| D0191 | 14 | 14 | $210.00 | |
| D1310 | 81 | 81 | $0.00 | |
| D1330 | 81 | 81 | $0.00 | |
| D0603 | 27 | 26 | $0.00 |