Medicaid Provider Spending

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

COFFEE SURGERY CENTER, LLC

NPI: 1457643405 · BAKERSFIELD, CA 93301 · Dental Clinic/Center · NPI assigned 05/10/2011

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

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

$14.86M
Total Medicaid Paid
242,670
Total Claims
135,498
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLARSEN, DEVIN (CEO)
NPI Enumeration Date05/10/2011

Related Entities

Other providers sharing the same authorized official: LARSEN, DEVIN

ProviderCityStateTotal Paid
VALLARINE DENTAL CORPORATION FRESNO CA $38.23M
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
THE DIGESTIVE ENDOSCOPY CENTER OF MICHIGAN LLC FLINT MI $759K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,920 $1.45M
2019 27,989 $1.74M
2020 24,425 $1.47M
2021 27,870 $1.70M
2022 41,840 $2.63M
2023 49,822 $3.14M
2024 45,804 $2.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 33,214 6,844 $3.93M
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 22,008 5,874 $2.16M
0490 13,590 6,538 $1.58M
41899 Unlisted procedure, dentoalveolar structures 7,999 7,844 $1.32M
D7140 Extraction, erupted tooth or exposed root 15,788 4,933 $898K
D9420 11,521 9,135 $816K
00170 Anesthesia for intraoral procedures, including biopsy 7,559 7,442 $757K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9,544 3,764 $633K
D2330 6,249 2,806 $479K
D0150 Comprehensive oral evaluation - new or established patient 6,712 6,685 $426K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5,930 2,684 $315K
D0230 Intraoral - periapical each additional radiographic image 29,520 8,468 $222K
D1120 Prophylaxis - child 8,775 8,736 $167K
D1510 974 724 $164K
D0350 12,012 6,484 $159K
D2150 Silver amalgam - two surfaces, primary or permanent 2,297 950 $152K
D0272 Bitewings - two radiographic images 8,292 8,255 $97K
0360 1,039 1,010 $96K
D1351 Sealant - per tooth 2,962 1,079 $89K
D1208 Topical application of fluoride, excluding varnish 8,784 8,744 $86K
D2140 1,284 606 $70K
0160 1,021 1,018 $38K
D0120 Periodic oral evaluation - established patient 664 663 $30K
0270 917 916 $26K
0710 7,872 7,718 $23K
D2331 263 186 $20K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 256 146 $20K
D2332 239 168 $19K
0760 877 876 $19K
Z7506 143 143 $13K
D0145 Oral evaluation for a patient under three years of age 144 144 $8K
Z7514 115 115 $4K
0761 146 144 $4K
Z7500 143 143 $3K
Z7512 143 143 $2K
D9430 74 74 $2K
D0210 Intraoral - complete series of radiographic images 49 49 $2K
D2160 24 13 $2K
J3490 Unclassified drugs 179 177 $1K
Z7610 143 143 $710.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,518 6,376 $311.57
99070 6,516 6,369 $311.57
J7030 Infusion, normal saline solution , 1000 cc 171 169 $51.61