Medicaid Provider Spending

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

NOBLE DREAMS ANESTHESIA LLC

NPI: 1750889804 · SALEM, OR 97302 · Certified Registered Nurse Anesthetist · NPI assigned 01/23/2018

$66K
Total Medicaid Paid
464
Total Claims
453
Beneficiaries
3
Codes Billed
2021-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSUMMERS, TYSON (ORGANIZER/CHIEF MANAGER)
NPI Enumeration Date01/23/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 20 $851.45
2022 33 $3K
2023 191 $27K
2024 220 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00170 Anesthesia for intraoral procedures, including biopsy 417 415 $63K
00126 13 13 $1K
00142 34 25 $1K