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BANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC
BANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC
NPI: 1528658838
· MESA, AZ 85202
· Sleep Disorder Diagnostic Clinic/Center
· NPI assigned 01/20/2021
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more
$220K
Total Medicaid Paid
Provider Details
| Authorized Official | LARAWAY, DENNIS (CFO) |
| Parent Organization | BANNER MEDICAL GROUP |
| NPI Enumeration Date | 01/20/2021 |
Related Entities
Other providers sharing the same authorized official: LARAWAY, DENNIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
212 |
$112K |
| 2022 |
141 |
$99K |
| 2023 |
15 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
273 |
259 |
$160K |
| 95782 |
|
78 |
64 |
$53K |
| 95811 |
|
17 |
13 |
$7K |