Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PORTLAND DENTAL ANESTHESIA

NPI: 1639604689 · SHERWOOD, OR 97140 · Dentist Anesthesiologist · NPI assigned 04/27/2017

$124K
Total Medicaid Paid
210
Total Claims
193
Beneficiaries
1
Codes Billed
2018-02
First Month
2019-09
Last Month

Provider Details

Authorized OfficialALLRED, RYAN (OWNER)
NPI Enumeration Date04/27/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 109 $65K
2019 101 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00170 Anesthesia for intraoral procedures, including biopsy 210 193 $124K