PROVIDENCE SURGERY CENTER
NPI: 1407860745
· MISSOULA, MT 59802
· Ambulatory Surgical Clinic/Center
· NPI assigned 07/29/2006
$3.52M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
742 |
$640K |
| 2019 |
812 |
$783K |
| 2020 |
498 |
$492K |
| 2021 |
485 |
$578K |
| 2022 |
355 |
$412K |
| 2023 |
532 |
$386K |
| 2024 |
258 |
$228K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,344 |
1,291 |
$2.58M |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
303 |
294 |
$482K |
| 64483 |
|
1,415 |
1,123 |
$378K |
| 62321 |
|
188 |
173 |
$40K |
| 64493 |
|
236 |
113 |
$35K |
| 64484 |
|
12 |
12 |
$0.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
146 |
128 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
38 |
38 |
$0.00 |