THE SURGICAL CENTER FOR EXCELLENCE, LLLP
NPI: 1174503080
· PANAMA CITY, FL 32405
· Ambulatory Surgical Clinic/Center
· NPI assigned 01/18/2006
$11.75M
Total Medicaid Paid
Provider Details
| Authorized Official | DAUBE, DANIEL (BOARD CHAIRMAN) |
| NPI Enumeration Date | 01/18/2006 |
Related Entities
Other providers sharing the same authorized official: DAUBE, DANIEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
49 |
$39K |
| 2019 |
3,124 |
$1.41M |
| 2020 |
4,787 |
$2.66M |
| 2021 |
3,920 |
$2.39M |
| 2022 |
5,204 |
$2.11M |
| 2023 |
4,176 |
$2.04M |
| 2024 |
2,316 |
$1.09M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
7,236 |
2,985 |
$9.41M |
| D7140 |
Extraction, erupted tooth or exposed root |
3,861 |
2,191 |
$744K |
| D2335 |
|
1,851 |
1,155 |
$720K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,719 |
1,267 |
$661K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
288 |
225 |
$107K |
| 99499 |
|
54 |
15 |
$47K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
1,913 |
1,427 |
$34K |
| D2330 |
|
85 |
72 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
1,191 |
1,155 |
$4K |
| D0272 |
Bitewings - two radiographic images |
2,924 |
2,804 |
$2K |
| D1510 |
|
912 |
777 |
$885.37 |
| D0230 |
Intraoral - periapical each additional radiographic image |
625 |
584 |
$251.99 |
| D1351 |
Sealant - per tooth |
881 |
598 |
$57.96 |
| D2332 |
|
36 |
26 |
$0.00 |