Dental
Shoreline Anesthesia, LLC
Shoreline Anesthesia, LLC was paid $47K by Medicaid between Mar 2022 and Nov 2022, across 2 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 86% of everything it billed.
33Billing provider infoSHORELINE ANESTHESIA, LLC
KOKOMO, IN 46901
KOKOMO, IN 46901
33aNPI1407445620assigned 01/12/2021
33bProvider typeDentist Anesthesiologist
28Total paid$47K
24GClaims344
24DCodes billed2
24AFirst – last monthMar 2022 – Nov 2022
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 | |
|---|---|---|---|
| 2022 | 344 | $47K |
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 | 86% | 269 | 57 | $40K |
| D9222 | 14% | 75 | 58 | $7K |
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 officialSCHAFFER, THOMAS (PRESIDENT)