PREMIERE ANESTHESIA FOR DENTISTRY
NPI: 1285047431
· WEXFORD, PA 15090
· Dentist Anesthesiologist
· NPI assigned 06/05/2014
$1.34M
Total Medicaid Paid
Provider Details
| Authorized Official | GRANT, VALERIE (OFFICE MANAGER) |
| NPI Enumeration Date | 06/05/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,022 |
$343K |
| 2024 |
2,613 |
$994K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,553 |
1,535 |
$1.04M |
| D9222 |
|
1,540 |
1,536 |
$268K |
| D0140 |
Limited oral evaluation - problem focused |
542 |
539 |
$28K |