SUN VALLEY SURGERY CENTER, LLC
NPI: 1114266970
· NORTH LAS VEGAS, NV 89032
· Ambulatory Surgical Clinic/Center
· NPI assigned 02/13/2013
$16.79M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GARAYCOCHEA, CHRISTIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,000 |
$1.74M |
| 2019 |
3,223 |
$2.46M |
| 2020 |
2,336 |
$1.79M |
| 2021 |
3,132 |
$2.16M |
| 2022 |
3,210 |
$2.68M |
| 2023 |
4,288 |
$2.78M |
| 2024 |
3,853 |
$3.18M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
Unlisted procedure, dentoalveolar structures |
19,956 |
18,320 |
$16.63M |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
1,395 |
261 |
$121K |
| D9420 |
|
513 |
486 |
$20K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,139 |
405 |
$10K |
| D2933 |
|
39 |
12 |
$4K |