Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › KANSAS CITY › KC CHILDRENS SURGERY CENTER LLC

KC CHILDRENS SURGERY CENTER LLC

NPI: 1124522495 · KANSAS CITY, KS 66112 · Ambulatory Surgical Clinic/Center · NPI assigned 03/21/2018

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

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

$13.76M
Total Medicaid Paid
26,932
Total Claims
19,106
Beneficiaries
18
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSEN, DEVIN (CEO)
NPI Enumeration Date03/21/2018

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
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
VISALIA CHILDREN'S DENTAL SURGERY CENTER INC VISALIA CA $3.35M
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
2019 331 $322K
2020 1,980 $1.68M
2021 4,056 $2.53M
2022 4,600 $3.06M
2023 7,226 $3.28M
2024 8,739 $2.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9999 Unspecified adjunctive procedure, by report 4,811 4,688 $4.89M
41899 Unlisted procedure, dentoalveolar structures 2,646 2,379 $4.25M
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 642 629 $1.06M
D0150 Comprehensive oral evaluation - new or established patient 2,684 1,509 $844K
D7140 Extraction, erupted tooth or exposed root 4,007 1,626 $774K
D2930 Prefabricated stainless steel crown - primary tooth 1,584 637 $498K
00170 Anesthesia for intraoral procedures, including biopsy 5,199 5,134 $465K
D7240 Removal of impacted tooth - completely bony 967 351 $387K
D2934 517 207 $124K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 871 365 $117K
D0603 66 64 $92K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 439 227 $72K
D0210 Intraoral - complete series of radiographic images 1,365 752 $72K
D2391 Resin-based composite - one surface, posterior, primary or permanent 388 211 $46K
D2330 377 170 $41K
D7230 61 28 $14K
D1351 Sealant - per tooth 271 112 $7K
D2331 37 17 $4K