NPI: 1891176210 · OWOSSO, MI 48867 · Federally Qualified Health Center (FQHC) · NPI assigned 06/11/2015
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 06/11/2015 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,497 | $384K |
| 2019 | 6,866 | $490K |
| 2020 | 5,719 | $330K |
| 2021 | 6,121 | $395K |
| 2022 | 5,277 | $367K |
| 2023 | 5,449 | $375K |
| 2024 | 5,188 | $274K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 6,563 | 3,405 | $624K |
| D0140 | Limited oral evaluation - problem focused | 4,914 | 4,740 | $467K |
| D1110 | Prophylaxis - adult | 4,494 | 4,479 | $340K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,937 | 1,714 | $270K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,421 | 2,415 | $203K |
| D0120 | Periodic oral evaluation - established patient | 3,625 | 3,608 | $193K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,277 | 1,049 | $140K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 506 | 483 | $79K |
| D0210 | Intraoral - complete series of radiographic images | 1,917 | 1,876 | $56K |
| D2331 | 318 | 262 | $38K | |
| D0274 | Bitewings - four radiographic images | 2,050 | 2,042 | $34K |
| D0220 | Intraoral - periapical first radiographic image | 4,902 | 4,687 | $33K |
| D2335 | 176 | 147 | $27K | |
| D1120 | Prophylaxis - child | 696 | 696 | $27K |
| D1206 | Topical application of fluoride varnish | 966 | 963 | $23K |
| D4355 | 162 | 162 | $19K | |
| D0330 | Panoramic radiographic image | 498 | 494 | $10K |
| D5110 | 12 | 12 | $9K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1,773 | 1,057 | $6K |
| D2332 | 44 | 37 | $6K | |
| D2330 | 36 | 30 | $4K | |
| D0270 | 776 | 766 | $3K | |
| D2394 | 12 | 12 | $2K | |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $228.60 |
| D0603 | 30 | 30 | $0.00 |