BLACK CANYON ANESTHESIA, PC.
NPI: 1710914072
· PHOENIX, AZ 85020
· Anesthesiology Physician
· NPI assigned 06/26/2006
$959.90
Total Medicaid Paid
Provider Details
| Authorized Official | WHITE, SHANNON (OFFICE MANAGER) |
| NPI Enumeration Date | 06/26/2006 |
Related Entities
Other providers sharing the same authorized official: WHITE, SHANNON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
37 |
$959.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 01992 |
|
14 |
12 |
$490.43 |
| 01936 |
|
23 |
22 |
$469.47 |