NPI: 1740548270 · SAGINAW, MI 48607 · Bus · NPI assigned 05/03/2012
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 05/03/2012 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 384 | $13K |
| 2020 | 115 | $6K |
| 2021 | 527 | $21K |
| 2022 | 653 | $29K |
| 2023 | 1,466 | $56K |
| 2024 | 1,123 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 1,152 | 1,151 | $50K |
| D1110 | Prophylaxis - adult | 353 | 353 | $42K |
| D1206 | Topical application of fluoride varnish | 1,194 | 1,193 | $31K |
| D0120 | Periodic oral evaluation - established patient | 882 | 882 | $28K |
| D1351 | Sealant - per tooth | 169 | 55 | $5K |
| D0191 | 281 | 281 | $2K | |
| D0140 | Limited oral evaluation - problem focused | 16 | 16 | $983.01 |
| D1330 | 89 | 89 | $0.00 | |
| D1310 | 89 | 89 | $0.00 | |
| D0603 | 30 | 30 | $0.00 | |
| D0602 | 13 | 13 | $0.00 |