MOUNTAIN DENTAL ANESTHESIA LLC
NPI: 1265101356
· LONE TREE, CO 80124
· Dentist Anesthesiologist
· NPI assigned 09/10/2021
$3.28M
Total Medicaid Paid
Provider Details
| Authorized Official | YANCEY, JOHN (DENTIST ANESTHESIOLOGIST) |
| NPI Enumeration Date | 09/10/2021 |
Related Entities
Other providers sharing the same authorized official: YANCEY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
502 |
$105K |
| 2021 |
885 |
$186K |
| 2022 |
5,190 |
$1.15M |
| 2023 |
3,944 |
$883K |
| 2024 |
4,737 |
$963K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,668 |
4,625 |
$2.56M |
| D9222 |
|
4,657 |
4,623 |
$507K |
| D9219 |
|
4,565 |
4,528 |
$190K |
| D0412 |
|
1,368 |
1,365 |
$27K |