MOUNTAIN DENTAL ANESTHESIA LLC
NPI: 1922642743
· BROOMFIELD, CO 80021
· 1223G0001X
$1.14M
Total Medicaid Paid
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 |
|
1,851 |
1,489 |
$874K |
| D9222 |
|
1,848 |
1,489 |
$195K |
| D9219 |
|
1,852 |
1,494 |
$75K |