NPI: 1790015279 · BRIDGEPORT, MI 48722 · Federally Qualified Health Center (FQHC) · NPI assigned 01/06/2010
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 01/06/2010 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,035 | $335K |
| 2019 | 4,390 | $292K |
| 2020 | 3,870 | $257K |
| 2021 | 6,107 | $448K |
| 2022 | 6,554 | $480K |
| 2023 | 7,134 | $408K |
| 2024 | 6,308 | $262K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 5,295 | 3,068 | $544K |
| D0140 | Limited oral evaluation - problem focused | 5,087 | 4,989 | $525K |
| D1110 | Prophylaxis - adult | 3,784 | 3,776 | $313K |
| D0120 | Periodic oral evaluation - established patient | 4,181 | 4,168 | $264K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,621 | 1,433 | $222K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,473 | 1,247 | $165K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,862 | 1,859 | $155K |
| D1120 | Prophylaxis - child | 1,305 | 1,305 | $52K |
| D0274 | Bitewings - four radiographic images | 2,473 | 2,468 | $49K |
| D0220 | Intraoral - periapical first radiographic image | 6,266 | 6,031 | $43K |
| D1206 | Topical application of fluoride varnish | 1,674 | 1,671 | $41K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 249 | 236 | $36K |
| D0210 | Intraoral - complete series of radiographic images | 1,146 | 1,128 | $27K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 161 | 147 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,623 | 1,569 | $12K |
| D2331 | 14 | 14 | $2K | |
| D2330 | 16 | 13 | $2K | |
| D2160 | 13 | 12 | $2K | |
| D0330 | Panoramic radiographic image | 81 | 81 | $2K |
| D4355 | 12 | 12 | $1K | |
| D0272 | Bitewings - two radiographic images | 17 | 17 | $349.00 |
| D0270 | 33 | 33 | $269.95 | |
| D0603 | 12 | 12 | $0.00 |