Dental
Klise, Terry
Klise, Terry was paid $217K by Medicaid between Apr 2018 and Dec 2020, across 2 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 51% of everything it billed.
33Billing provider infoKLISE, TERRY
MISSOULA, MT 59808
MISSOULA, MT 59808
33aNPI1912921594assigned 07/27/2006
33bProvider typeDentist Anesthesiologist
28Total paid$217K
24GClaims562
24DCodes billed2
24AFirst – last monthApr 2018 – Dec 2020
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 220 | $88K | |
| 2019 | 150 | $60K | |
| 2020 | 192 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 51% | 281 | 253 | $111K |
| D9999 | Unspecified adjunctive procedure, by report | 49% | 281 | 253 | $106K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.