KLISE, TERRY
NPI: 1912921594
· MISSOULA, MT 59808
· Dentist Anesthesiologist
· NPI assigned 07/27/2006
$217K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
220 |
$88K |
| 2019 |
150 |
$60K |
| 2020 |
192 |
$69K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
281 |
253 |
$111K |
| D9999 |
Unspecified adjunctive procedure, by report |
281 |
253 |
$106K |