Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Coffee Surgery Center, LLC

Coffee Surgery Center, LLC was paid $14.86M by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 26% of everything it billed.

33Billing provider infoCOFFEE SURGERY CENTER, LLC
BAKERSFIELD, CA 93301
33aNPI1457643405assigned 05/10/2011
33bProvider typeDental Clinic/Center
28Total paid$14.86M
24GClaims242,670
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Dental Clinic/Center providers in California

Rank by total paid#19 of 1,135
Median peer was paid$200K
This provider vs. median74×

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 ProliferationAuthorized official LARSEN, DEVIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201824,920$1.45M
201927,989$1.74M
202024,425$1.47M
202127,870$1.70M
202241,840$2.63M
202349,822$3.14M
2024incomplete45,804$2.73M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 26% 33,214 6,844 $3.93M
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 15% 22,008 5,874 $2.16M
0490 11% 13,590 6,538 $1.58M
41899 Unlisted procedure, dentoalveolar structures 8.9% 7,999 7,844 $1.32M
D7140 Extraction, erupted tooth or exposed root 6.0% 15,788 4,933 $898K
D9420 5.5% 11,521 9,135 $816K
00170 Anesthesia for intraoral procedures, including biopsy 5.1% 7,559 7,442 $757K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.3% 9,544 3,764 $633K
D2330 3.2% 6,249 2,806 $479K
D0150 Comprehensive oral evaluation - new or established patient 2.9% 6,712 6,685 $426K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.1% 5,930 2,684 $315K
D0230 Intraoral - periapical each additional radiographic image 1.5% 29,520 8,468 $222K
31 more codes
D1120 Dental cleaning, child 1.1% 8,775 $167K
D1510 1.1% 974 $164K
D0350 1.1% 12,012 $159K
D2150 Silver amalgam - two surfaces, primary or permanent 1.0% 2,297 $152K
D0272 Bitewings - two radiographic images <1% 8,292 $97K
0360 <1% 1,039 $96K
D1351 Sealant - per tooth <1% 2,962 $89K
D1208 Topical application of fluoride, excluding varnish <1% 8,784 $86K
D2140 <1% 1,284 $70K
0160 <1% 1,021 $38K
D0120 Dental checkup, returning patient <1% 664 $30K
0270 <1% 917 $26K
0710 <1% 7,872 $23K
D2331 <1% 263 $20K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 256 $20K
D2332 <1% 239 $19K
0760 <1% 877 $19K
Z7506 <1% 143 $13K
D0145 Oral evaluation for a patient under three years of age <1% 144 $8K
Z7514 <1% 115 $4K
0761 <1% 146 $4K
Z7500 <1% 143 $3K
Z7512 <1% 143 $2K
D9430 <1% 74 $2K
D0210 Intraoral - complete series of radiographic images <1% 49 $2K
D2160 <1% 24 $2K
J3490 Unclassified drugs <1% 179 $1K
Z7610 <1% 143 $710.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 6,518 $311.57
99070 <1% 6,516 $311.57
J7030 Infusion, normal saline solution , 1000 cc <1% 171 $51.61

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

Authorized officialLARSEN, DEVIN (CEO)
Same official

Other billing entities under LARSEN, DEVIN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.