Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DENTAL SURGERY CENTERS OF AMERICA

NPI: 1417421256 · PARLIER, CA 93648 · Ambulatory Surgical Clinic/Center · NPI assigned 01/15/2019

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

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

$130K
Total Medicaid Paid
3,075
Total Claims
2,630
Beneficiaries
11
Codes Billed
2020-08
First Month
2022-11
Last Month

Provider Details

Authorized OfficialLARSEN, DEVIN (CEO)
NPI Enumeration Date01/15/2019

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
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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 541 $28K
2021 803 $12K
2022 1,731 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41899 Unlisted procedure, dentoalveolar structures 495 494 $35K
0360 620 378 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 288 89 $22K
00170 Anesthesia for intraoral procedures, including biopsy 174 174 $20K
0490 137 136 $11K
0710 379 378 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 89 89 $3K
0160 172 172 $1K
0272 205 204 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 344 344 $1K
0760 172 172 $664.64