ARIZONA DENTAL ANESTHESIA PLLC
NPI: 1689025256
· PEORIA, AZ 85381
· Dentist Anesthesiologist
· NPI assigned 06/24/2016
$10.98M
Total Medicaid Paid
Provider Details
| Authorized Official | WALL, MATTHEW (MANAGER/MEMBER) |
| NPI Enumeration Date | 06/24/2016 |
Related Entities
Other providers sharing the same authorized official: WALL, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,074 |
$453K |
| 2019 |
13,793 |
$1.04M |
| 2020 |
16,314 |
$1.05M |
| 2021 |
20,527 |
$1.46M |
| 2022 |
22,781 |
$1.98M |
| 2023 |
25,412 |
$2.68M |
| 2024 |
24,036 |
$2.32M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
54,989 |
41,402 |
$6.12M |
| D9222 |
|
40,415 |
39,638 |
$4.66M |
| D9612 |
|
34,441 |
33,589 |
$196K |
| D9410 |
|
46 |
46 |
$3K |
| D9310 |
|
46 |
46 |
$2K |