Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VISALIA CHILDREN'S DENTAL SURGERY CENTER INC

NPI: 1053643783 · VISALIA, CA 93291 · Ambulatory Surgical Clinic/Center · NPI assigned 02/05/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LARSEN, DEVIN controls 20+ related entities in our dataset. Read more

$3.35M
Total Medicaid Paid
72,652
Total Claims
67,591
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSEN, DEVIN (CEO)
NPI Enumeration Date02/05/2010

Related Entities

Other providers sharing the same authorized official: LARSEN, DEVIN

ProviderCityStateTotal Paid
VALLARINE DENTAL CORPORATION FRESNO CA $38.23M
COFFEE SURGERY CENTER, LLC BAKERSFIELD CA $14.86M
KC CHILDRENS SURGERY CENTER LLC KANSAS CITY KS $13.76M
HOUSTON CHILDREN'S DENTAL CENTER, LLC HOUSTON TX $11.03M
DENTAL SURGICENTER OF LOUISVILLE LLC LOUISVILLE KY $8.44M
DENTAL SURGERY CENTERS OF AMERICA ATWATER CA $7.22M
DENTAL SURGERY CENTERS OF AMERICA STOCKTON CA $6.82M
JACKSONVILLE CHILDREN'S SURGERY CENTER, LLC JACKSONVILLE FL $6.31M
MEDICAL AND DENTAL CENTER OF NEVADA LLC LAS VEGAS NV $6.00M
SAN ANTONIO CHILDRENS SURGICAL SAN ANTONIO TX $4.91M
CHILDREN 1ST HOUSTON SOUTH, LLC HOUSTON TX $3.69M
FORT MYERS CHILDREN'S SURGERY CENTER, LLC FT MYERS FL $3.42M
CHILDREN 1ST GRAND PRAIRIE, LLC GRAND PRAIRIE TX $3.31M
DENTAL SURGERY CENTERS OF AMERICA SANTA MARIA CA $2.66M
WEST PALM BEACH CHILDREN'S SURGERY CENTER, LLC PALM SPRINGS FL $1.63M
BLUE CLOUD ANESTHESIA, LLC TAMPA FL $1.57M
SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC RALEIGH NC $1.38M
BLUE CLOUD ANESTHESIA, LLC ORLANDO FL $1.36M
DENTAL SURGICENTER OF LOUISVILLE LLC LOUISVILLE KY $965K
THE DIGESTIVE ENDOSCOPY CENTER OF MICHIGAN LLC FLINT MI $759K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,700 $480K
2019 11,302 $479K
2020 9,212 $297K
2021 12,416 $396K
2022 8,999 $276K
2023 8,656 $263K
2024 3,367 $1.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 702 702 $1.09M
0360 7,614 7,407 $595K
41899 Unlisted procedure, dentoalveolar structures 10,151 10,076 $409K
00170 Anesthesia for intraoral procedures, including biopsy 8,390 8,333 $291K
99199 Unlisted special service, procedure or report 5,834 1,365 $259K
0160 5,990 5,928 $165K
0760 6,362 6,308 $113K
0710 7,798 7,730 $106K
J3490 Unclassified drugs 1,232 1,224 $90K
0490 1,751 1,744 $70K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 1,121 1,121 $42K
0270 479 461 $38K
0761 1,231 1,225 $24K
A4217 Sterile water/saline, 500 ml 5,007 4,997 $22K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,072 4,070 $17K
J2175 Injection, meperidine hydrochloride, per 100 mg 1,579 1,573 $12K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,579 1,573 $7K
J2704 Injection, propofol, 10 mg 1,579 1,573 $6K
J7030 Infusion, normal saline solution , 1000 cc 181 181 $0.00