NPI: 1801331137 · SAGINAW, MI 48607 · Federally Qualified Health Center (FQHC) · NPI assigned 12/22/2016
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 12/22/2016 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 337 | $14K |
| 2020 | 306 | $19K |
| 2021 | 438 | $20K |
| 2022 | 963 | $40K |
| 2023 | 974 | $38K |
| 2024 | 1,139 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,218 | 1,216 | $42K |
| D1110 | Prophylaxis - adult | 342 | 342 | $42K |
| D1120 | Prophylaxis - child | 987 | 986 | $42K |
| D1206 | Topical application of fluoride varnish | 1,055 | 1,052 | $27K |
| D0140 | Limited oral evaluation - problem focused | 70 | 67 | $6K |
| D1351 | Sealant - per tooth | 106 | 37 | $3K |
| D0191 | 170 | 170 | $692.43 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $653.53 |
| D0220 | Intraoral - periapical first radiographic image | 59 | 56 | $154.15 |
| D0603 | 34 | 34 | $0.00 | |
| D1330 | 51 | 51 | $0.00 | |
| D1310 | 52 | 52 | $0.00 |