NPI: 1831561182 · IMLAY CITY, MI 48444 · Federally Qualified Health Center (FQHC) · NPI assigned 10/27/2015
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 10/27/2015 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,069 | $215K |
| 2019 | 3,697 | $249K |
| 2020 | 3,178 | $210K |
| 2021 | 4,125 | $263K |
| 2022 | 3,995 | $270K |
| 2023 | 4,370 | $273K |
| 2024 | 3,950 | $227K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 3,989 | 2,031 | $384K |
| D0140 | Limited oral evaluation - problem focused | 3,356 | 3,261 | $324K |
| D1110 | Prophylaxis - adult | 3,904 | 3,892 | $293K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,116 | 2,112 | $177K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,036 | 953 | $146K |
| D0120 | Periodic oral evaluation - established patient | 2,711 | 2,699 | $144K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 703 | 596 | $77K |
| D0210 | Intraoral - complete series of radiographic images | 1,613 | 1,606 | $48K |
| D0274 | Bitewings - four radiographic images | 1,597 | 1,593 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 3,706 | 3,551 | $25K |
| D4355 | 190 | 189 | $22K | |
| D1206 | Topical application of fluoride varnish | 351 | 351 | $8K |
| D1120 | Prophylaxis - child | 213 | 213 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 40 | 40 | $6K |
| D2335 | 25 | 24 | $5K | |
| D2331 | 26 | 24 | $4K | |
| D2330 | 28 | 25 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | 676 | 452 | $3K |
| D0270 | 62 | 62 | $380.40 | |
| D0602 | 13 | 13 | $0.00 | |
| D0330 | Panoramic radiographic image | 29 | 29 | $0.00 |