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VISALIA CHILDREN'S DENTAL SURGERY CENTER INC
VISALIA CHILDREN'S DENTAL SURGERY CENTER INC
NPI: 1053643783
· VISALIA, CA 93291
· 261QA1903X
$3.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0330 |
Facility svs dental rehab |
702 |
702 |
$1.09M |
| 0360 |
|
7,614 |
7,407 |
$595K |
| 41899 |
|
10,151 |
10,076 |
$409K |
| 00170 |
|
8,390 |
8,333 |
$291K |
| 99199 |
|
5,834 |
1,365 |
$259K |
| 0160 |
|
5,990 |
5,928 |
$165K |
| 0760 |
|
6,362 |
6,308 |
$113K |
| 0710 |
|
7,798 |
7,730 |
$106K |
| J3490 |
Drugs unclassified injection |
1,232 |
1,224 |
$90K |
| 0490 |
|
1,751 |
1,744 |
$70K |
| T1999 |
Noc retail items andsupplies |
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 |
Normal saline solution infus |
4,072 |
4,070 |
$17K |
| J2175 |
Meperidine hydrochl /100 mg |
1,579 |
1,573 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
1,579 |
1,573 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
1,579 |
1,573 |
$6K |
| J7030 |
Normal saline solution infus |
181 |
181 |
$0.00 |