Medicaid Provider Spending

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

ELITE SEDATION GENERAL PARTNERSHIP

NPI: 1699405027 · LAGUNA NIGUEL, CA 92677 · Dentist Anesthesiologist · NPI assigned 06/17/2022

$25K
Total Medicaid Paid
73
Total Claims
72
Beneficiaries
3
Codes Billed
2024-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialELMASRI, ANDREW (DENTIST ANESTHESIOLOGIST)
NPI Enumeration Date06/17/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 73 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 25 24 $20K
D9222 24 24 $3K
D9610 24 24 $2K