Dental
Pacific Northwest Dental Anesthesia Services LLC
Pacific Northwest Dental Anesthesia Services LLC was paid $3.30M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 53% of everything it billed.
33Billing provider infoPACIFIC NORTHWEST DENTAL ANESTHESIA SERVICES LLC
MERCER ISLAND, WA 98040
MERCER ISLAND, WA 98040
33aNPI1003284134assigned 09/06/2015
33bProvider typeDentist Anesthesiologist
28Total paid$3.30M
24GClaims14,264
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,619 | $227K | |
| 2019 | 1,262 | $260K | |
| 2020 | 1,630 | $405K | |
| 2021 | 2,126 | $521K | |
| 2022 | 2,169 | $530K | |
| 2023 | 2,124 | $670K | |
| 2024incomplete | 2,334 | $692K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 53% | 6,128 | 4,081 | $1.76M |
| T2035 | Utility services to support medical equipment and assistive technology/devices, waiver | 36% | 4,189 | 4,061 | $1.20M |
| D9222 | 10% | 3,947 | 3,867 | $341K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBEAN, GEOFFREY (OWNER)