SALT RIVER ANESTHESIA LLC
NPI: 1912654393
· PHOENIX, AZ 85020
· Anesthesiology Physician
· NPI assigned 03/07/2022
$674.52
Total Medicaid Paid
Provider Details
| Authorized Official | KOZIOL, VANESSA (CREDENTIALING) |
| NPI Enumeration Date | 03/07/2022 |
Related Entities
Other providers sharing the same authorized official: KOZIOL, VANESSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$674.52 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
12 |
12 |
$674.52 |