AIRSUPPLY ANESTHESIA
NPI: 1770097792
· SAN ANTONIO, TX 78255
· Dentist
· NPI assigned 11/29/2017
$541K
Total Medicaid Paid
4,100
Beneficiary Records
Provider Details
Related Entities
Other providers sharing the same authorized official: RAMMELL, PHELON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,875 |
$122K |
| 2021 |
6,449 |
$419K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
6,269 |
2,050 |
$375K |
| D9222 |
|
2,055 |
2,050 |
$166K |