What we provide
Anesthesia Services
Office-based anesthesia for dental and surgical practices. All medications, monitoring, and emergency equipment brought onsite.
At GMC Anesthesia, we bring hospital-level mobile anesthesia care directly to dental offices, oral surgery practices, ambulatory surgical centers, and select outpatient clinics. Wisconsin and Minnesota are our primary service areas, with licensed coverage also available in Iowa, Illinois, and Michigan.
Our mobile approach allows patients to receive care in familiar surroundings while giving providers the support and equipment needed to perform procedures safely and efficiently — without the limitations of a hospital setting.
We partner with dental offices, oral surgery practices, and ambulatory surgical centers to deliver personalized anesthesia care that enhances patient comfort, reduces anxiety, and ensures safety at every step.
Our Anesthesia Services
Below is an overview of the anesthesia services we provide. Each links to a detailed page explaining how the service works, when it’s used, and what patients can expect.
Local Anesthesia
Local anesthesia numbs a small, specific area — such as a tooth or section of skin — so treatment can be completed comfortably while the patient remains awake.
Minor procedures · Low-complexity coordination
Learn more about our Local Anesthesia services →
Monitored Anesthesia Care (MAC) and IV Sedation
MAC and IV sedation combine pain management with relaxation, allowing patients to stay comfortable while breathing on their own. Ideal for outpatient procedures performed in-office.
Outpatient procedures · Moderate complexity · Anxious patients
Learn more about Monitored Anesthesia Care and IV Sedation →
Regional Anesthesia
Regional anesthesia numbs a specific part of the body, such as an arm or leg, while patients remain awake and comfortable. It provides excellent pain control for longer procedures and is easily performed in a mobile, office-based setting.
Longer procedures · Patients preferring consciousness
Learn more about Regional Anesthesia services →
General Anesthesia
General anesthesia provides complete unconsciousness and pain control for complex or lengthy procedures. Delivered through IV or inhalation, it’s safely managed in your office with full monitoring and recovery oversight.
Oral surgery · Complex dental · Long procedures
Discover our General Anesthesia services →
Ultrasound Guided IV Access
Ultrasound-guided IV placement ensures quick, accurate access for patients with difficult veins, preventing delays and reducing discomfort during in-office procedures.
Difficult access · Pediatric patients · Reduces stress
Learn more aboutUltrasound Guided IV Access →
Pediatric Anesthesia
Children require specialized care when it comes to anesthesia. Our pediatric anesthesia services are designed to keep young patients safe, comfortable, and calm during dental or outpatient procedures. With experienced CRNAs, hospital-grade monitoring, and family-focused communication, we deliver trusted in-office anesthesia care for children across Wisconsin and Minnesota, with broader availability in Iowa, Illinois, and Michigan. Pediatric dental · Children requiring sedation Learn more about Pediatric Anesthesia →
High-Anxiety & Trauma-Informed Anesthesia Care
Patients with severe dental anxiety, prior procedural trauma, or difficulty tolerating treatment often require structured sedation planning beyond standard approaches. GMC Anesthesia provides office-based IV sedation and general anesthesia tailored for high-anxiety patients, allowing dental and oral surgery practices to safely manage complex cases while maintaining predictable workflow and monitoring standards.
Dental phobia · Prior trauma · Fear avoidance
Learn more about High-Anxiety & Trauma Informed Dental Anesthesia →
Special Needs & Neurodiverse Anesthesia Care
Patients with developmental disabilities, sensory sensitivities, or complex medical needs require individualized anesthesia planning. GMC Anesthesia partners with dental and oral surgery practices to deliver structured, office-based sedation and general anesthesia that supports safe case completion while maintaining hospital-level monitoring in a familiar clinical setting.
Developmental disabilities · Behavioral complexity
Learn more about Special Needs & Neurodiverse Anesthesia Care →
Mobile, Office-Based Expertise
Every GMC Anesthesia service is delivered onsite at your practice with all necessary equipment, monitoring, and medications. This mobile model allows your team to focus on treatment while we handle every aspect of anesthesia administration and recovery —
giving patients hospital-grade safety with the convenience of in-office care.
Monitoring & Safety
All patients are continuously monitored for vital signs, airway stability, and comfort throughout each procedure. Our protocols meet or exceed hospital standards, ensuring safe anesthesia delivery and smooth recovery in an outpatient setting.
Benefits of Mobile Anesthesia
- Reduces patient anxiety by eliminating hospital transfers
- Keeps procedures in the office environment patients know and trust
- Allows practices to expand available services
- Minimizes scheduling delays and improves efficiency
- Ensures consistent care under an experienced CRNA
Discussing Your Anesthesia Plan
Before every procedure, Gram Cotton and his team personally review each case, considers
the patient’s medical history, and designs a customized anesthesia plan.
If you have questions about anesthesia options for your practice or your patients, we
invite you to contact us. Your safety, comfort, and confidence remain our top priorities.
Financial Policy
At GMC Anesthesia, Inc., we are dedicated to providing high-quality, office-based anesthesia services in a safe, comfortable, and efficient setting. As a primarily fee-for-service provider, we aim to be transparent about costs and payment expectations. Please review our financial policy below:
Direct Payment Policy
- Private Pay Model: GMC Anesthesia operates as a cash-based provider. Full payment for anesthesia services is required 5 to 8 days prior to the scheduled procedure or surgical service unless otherwise arranged in advance.
- Accepted Forms of Payment: We accept cash, major redit/debit cards, and may offer third-party financing options.
Insurance & Reimbursement
- No Direct Billing: GMC Anesthesia does not bill insurance. We are considered an out-of-network provider by most insurance plans.
- Receipts for Reimbursement: Upon request, we can provide a detailed statement or superbill that you may submit to your insurance carrier for potential reimbursement. Reimbursement is not guaranteed and varies by provider and policy.
Cost Estimates
- We provide transparent fee estimates before your procedure. Our fees cover all anesthesia-related services, including pre-op assessment, anesthesia administration, and post-op monitoring.
- If procedure time or services change, adjustments to fees may be made accordingly.
- A $400 deposit will be collected within 48 hours after your procedural or surgical booking in order for us to begin the preoperative preparation process. It will be applied towards your final procedure fee. This deposit is nonrefundable in case of cancellation.
Cancellation & No-Show Policy
- 96-Hour (4 Days) Notice Prior to Scheduled Surgery Required: Cancellations must be made at least 96 hours in advance to avoid a cancellation fee. Cancellations made 48 to 96 hours notice prior to scheduled surgery will receive 50% of the anesthesia fee estimate. Cancellations made 24 to 48 hours prior to scheduled surgery will receive no refund of the
anesthesia fee estimate. - Missed Appointments: Failure to show or same-day cancellations will result in a no refund of the anesthesia fee estimate and may require an additional fee prepayment for future anesthesia services.
Refund Policy
Refunds are issued for any overpayments or canceled appointments (when proper notice is given). Please allow up to 10 business days for processing.
Disclaimer
Medical Disclaimer
The content provided on this website is for general informational purposes only and does not constitute medical advice, diagnosis, or treatment. All information, including text, graphics, images, and links, is intended to support, not replace, the relationship between
patients and their healthcare providers. Always seek the advice of a qualified healthcare professional with any questions you may have regarding a medical condition or treatment.
Emergency Situations
This website is not intended for use in the case of a medical emergency. If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
No Guarantee of Outcomes
While we strive to keep the information on this website accurate and up to date, GMC Anesthesia, Inc. makes no warranties or representations, express or implied, as to the accuracy, completeness, suitability, or reliability of the information contained herein.
Patient outcomes may vary, and no guarantee is made regarding the results of any anesthesia services provided.
Third-Party Links
This website may contain links to third-party websites. GMC Anesthesia, Inc. does not endorse and is not responsible for the content, accuracy, or privacy practices of those websites. Use of such third-party sites is at your own risk.
Privacy & Data Collection
While we take your privacy seriously, please note that communication via this website or email may not be secure. Do not share sensitive personal, medical, or financial information unless instructed to do so through a secure method.
Changes to Disclaimer
GMC Anesthesia, Inc. reserves the right to update or change this disclaimer at any time without notice. Please review this page periodically for any changes.
Have questions about our services?
Not sure which anesthesia option fits your case mix? Send us a message and a GMC team member will follow up.
Medical Providers Form
Complete the form below to request a consultation.
Patients & Families Form
Use the form below to ask a question about your procedure.