IDAHO DENTAL ANESTHESIA PLLC
NPI: 1629470141
· MERIDIAN, ID 83646
· Dentist Anesthesiologist
· NPI assigned 09/17/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 00170 with only 1 total codes billed. Highly concentrated billing profile.
$1.16M
Total Medicaid Paid
Provider Details
| Authorized Official | JUDD, RYAN (DENTIST ANESTHESIOLOGIST) |
| NPI Enumeration Date | 09/17/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
102 |
$38K |
| 2020 |
222 |
$150K |
| 2021 |
443 |
$306K |
| 2022 |
612 |
$435K |
| 2023 |
294 |
$230K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,673 |
1,341 |
$1.16M |