NOBLE DREAMS ANESTHESIA LLC
NPI: 1750889804
· SALEM, OR 97302
· Certified Registered Nurse Anesthetist
· NPI assigned 01/23/2018
Provider Details
| Authorized Official | SUMMERS, TYSON (ORGANIZER/CHIEF MANAGER) |
| NPI Enumeration Date | 01/23/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
20 |
$851.45 |
| 2022 |
33 |
$3K |
| 2023 |
191 |
$27K |
| 2024 |
220 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
417 |
415 |
$63K |
| 00126 |
|
13 |
13 |
$1K |
| 00142 |
|
34 |
25 |
$1K |