Clinic
Fort Myers Children's Surgery Center, LLC
Fort Myers Children's Surgery Center, LLC was paid $3.42M by Medicaid between Aug 2023 and Dec 2024, across 18 billing codes.
Its largest line is D7140 , Extraction, erupted tooth or exposed root — 47% of everything it billed.
33 Billing provider infoFORT MYERS CHILDREN'S SURGERY CENTER, LLC
33a NPI1366549511 assigned 09/20/2006
28 Total paid$3.42M
24G Claims43,173
24D Codes billed18
24A First – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Florida
Rank by total paid #10 of 165
Median peer was paid $41K
This provider vs. median 83×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed .
Entity Proliferation Authorized official LARSEN, DEVIN controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $200K $400K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2023 8,510 $485K 2024incomplete 34,663 $2.93M
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
D7140 Extraction, erupted tooth or exposed root
47% 7,269
2,161
$1.59M
D2930 Prefabricated stainless steel crown - primary tooth
32% 6,549
2,235
$1.11M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent
8.5% 1,196
684
$291K
D2391 Resin-based composite - one surface, posterior, primary or permanent
5.1% 1,591
839
$175K
D2335 4.0% 292
157
$137K
D2330 1.4% 1,372
768
$49K
D2934 <1% 368
184
$13K
D2332 <1% 257
180
$13K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction
<1% 801
533
$11K
D3120 <1% 920
526
$11K
D9420 <1% 3,581
2,647
$9K
D0210 Intraoral - complete series of radiographic images
<1% 3,583
2,636
$4K
6 more codes
D2331 <1%
23
$2K
D0150 Comprehensive oral evaluation - new or established patient
<1%
3,605
$2K
D1351 Sealant - per tooth
<1%
3,175
$834.30
D1330 <1%
3,599
$592.36
D0350 <1%
1,433
$260.75
D0603 <1%
3,559
$20.05
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Provider Location Paid
Vallarine Dental Corporation Fresno, CA $38.23M Coffee Surgery Center, LLC Bakersfield, CA $14.86M KC Childrens Surgery Center LLC Kansas City, KS $13.76M 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 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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.