PEDIATRIC DENTAL ANESTHESIOLOGISTS
NPI: 1609484922
· SPOKANE, WA 99218
· Anesthesiology Physician
· NPI assigned 07/22/2020
$1.32M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
419 |
$76K |
| 2021 |
1,627 |
$394K |
| 2022 |
1,883 |
$461K |
| 2023 |
1,253 |
$388K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,673 |
1,609 |
$675K |
| T2035 |
Utility services to support medical equipment and assistive technology/devices, waiver |
1,708 |
1,643 |
$505K |
| D9222 |
|
1,707 |
1,643 |
$139K |
| D9630 |
|
94 |
92 |
$0.00 |