MOUNTAIN DENTAL ANESTHESIA LLC
NPI: 1922642743
· BROOMFIELD, CO 80021
· General Practice Dentistry
· NPI assigned 11/05/2019
$1.14M
Total Medicaid Paid
Provider Details
| Authorized Official | YANCEY, JOHN (DENTIST ANESTHESIOLOGIST) |
| Parent Organization | MOUNTAIN DENTAL LLC |
| NPI Enumeration Date | 11/05/2019 |
Related Entities
Other providers sharing the same authorized official: YANCEY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,589 |
$329K |
| 2021 |
3,962 |
$815K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,851 |
1,489 |
$874K |
| D9222 |
|
1,848 |
1,489 |
$195K |
| D9219 |
|
1,852 |
1,494 |
$75K |