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DESERT STATE DENTAL ANESTHESIA, LLC
DESERT STATE DENTAL ANESTHESIA, LLC
NPI: 1407994676
· MESA, AZ 85210
· Dentist Anesthesiologist
· NPI assigned 02/01/2007
$591K
Total Medicaid Paid
Provider Details
| Authorized Official | TURNER, REUBEN (MANAGER) |
| NPI Enumeration Date | 02/01/2007 |
Related Entities
Other providers sharing the same authorized official: TURNER, REUBEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,629 |
$536K |
| 2019 |
354 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9222 |
|
1,956 |
1,381 |
$325K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,790 |
1,491 |
$245K |
| D9310 |
|
1,058 |
554 |
$17K |
| D9612 |
|
179 |
168 |
$4K |