Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHORELINE ANESTHESIA, LLC

NPI: 1407445620 · KOKOMO, IN 46901 · Dentist Anesthesiologist · NPI assigned 01/12/2021

$47K
Total Medicaid Paid
344
Total Claims
115
Beneficiaries
2
Codes Billed
2022-03
First Month
2022-11
Last Month

Provider Details

Authorized OfficialSCHAFFER, THOMAS (PRESIDENT)
NPI Enumeration Date01/12/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 344 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 269 57 $40K
D9222 75 58 $7K