Medicaid Provider Spending

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

PREMIER ANESTHESIA OF PENNSYLVANIA PC

NPI: 1831493865 · DREXEL HILL, PA 19026 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 01/05/2011

$2K
Total Medicaid Paid
18
Total Claims
12
Beneficiaries
1
Codes Billed
2018-08
First Month
2018-08
Last Month

Provider Details

Authorized OfficialHARGROVE, ROSANDRA (DELEGATED OFFICIAL/PROVIDER CORD.)
NPI Enumeration Date01/05/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00170 Anesthesia for intraoral procedures, including biopsy 18 12 $2K