Green States Anesthesia PLLC

Green States Anesthesia PLLC was paid $4.78M by Medicaid between Mar 2019 and Dec 2024, across 26 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 59% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	7,620	$423K
2020	11,674	$700K
2021	14,949	$931K
2022	19,376	$1.12M
2023	21,868	$953K
2024incomplete	14,493	$660K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	59%	44,550	9,767	$2.80M
D9222		17%	11,523	9,767	$820K
D9310		11%	10,287	8,789	$533K
D9612		4.1%	6,017	5,946	$196K
D9630		1.7%	5,157	5,102	$83K
D1120	Dental cleaning, childProphylaxis - child	1.2%	1,771	1,756	$57K
D1351	Sealant - per tooth	<1%	1,642	316	$46K
D1206	Topical application of fluoride varnish	<1%	1,634	1,617	$44K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	938	930	$27K
D0150	Comprehensive oral evaluation - new or established patient	<1%	544	535	$25K
D0272	Bitewings - two radiographic images	<1%	859	846	$20K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	185	118	$18K

14 more codes

D0230	Intraoral - periapical each additional radiographic image	<1%	1,695	$18K
D0350		<1%	496	$17K
D2930	Prefabricated stainless steel crown - primary tooth	<1%	89	$13K
D0220	Intraoral - periapical first radiographic image	<1%	902	$13K
D0274	Bitewings - four radiographic images	<1%	403	$13K
D0330	Panoramic radiographic image	<1%	186	$10K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	149	$10K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	249	$8K
D7140	Extraction, erupted tooth or exposed root	<1%	54	$4K
D8670	Periodic orthodontic treatment visit	<1%	55	$3K
D1208	Topical application of fluoride, excluding varnish	<1%	75	$1K
D9610		<1%	25	$496.75
D1110	Prophylaxis - adult	<1%	59	$398.40
D0603		0%	436	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBRADY, NORA (MANAGER)