MOBILE ANESTHESIA FOR CHILDREN
NPI: 1356667026
· SPOKANE, WA 99218
· Dental Clinic/Center
· NPI assigned 04/20/2010
$5.55M
Total Medicaid Paid
Provider Details
| Authorized Official | BOTTORFF, MARK (OWNER) |
| NPI Enumeration Date | 04/20/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,941 |
$859K |
| 2019 |
4,299 |
$906K |
| 2020 |
3,687 |
$789K |
| 2021 |
3,950 |
$819K |
| 2022 |
3,023 |
$660K |
| 2023 |
3,383 |
$764K |
| 2024 |
2,868 |
$753K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
8,580 |
7,839 |
$2.47M |
| T2035 |
Utility services to support medical equipment and assistive technology/devices, waiver |
8,391 |
7,826 |
$2.43M |
| D9222 |
|
8,180 |
7,624 |
$648K |