NPI: 1144650060 · SAN ANTONIO, TX 78240 · Ambulatory Surgical Clinic/Center · NPI assigned 11/13/2013
Authorized official LARSEN, DEVIN controls 20+ related entities in our dataset. Read more
| Authorized Official | LARSEN, DEVIN (CEO) |
| Parent Organization | NORTH END HEALTHCARE |
| NPI Enumeration Date | 11/13/2013 |
Other providers sharing the same authorized official: LARSEN, DEVIN
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 414 | $154K |
| 2021 | 1,642 | $696K |
| 2022 | 1,964 | $989K |
| 2023 | 2,347 | $1.20M |
| 2024 | 2,496 | $1.87M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 7,754 | 7,581 | $3.91M |
| 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 | 734 | 731 | $938K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 375 | 265 | $60K |