CHILDREN'S DENTAL SURGERY CENTER, INC
NPI: 1518995109
· SANTA ANA, CA 92704
· 261QA1903X
$112K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,578 |
$11K |
| 2019 |
8,076 |
$35K |
| 2020 |
3,806 |
$13K |
| 2021 |
5,654 |
$9K |
| 2022 |
1,414 |
$4K |
| 2023 |
2,373 |
$25K |
| 2024 |
13 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0330 |
Facility svs dental rehab |
274 |
272 |
$39K |
| A0429 |
Bls-emergency |
1,294 |
479 |
$19K |
| J3490 |
Drugs unclassified injection |
3,503 |
2,190 |
$18K |
| 00170 |
|
1,488 |
805 |
$10K |
| 96374 |
|
2,029 |
2,019 |
$7K |
| 96375 |
|
1,655 |
1,618 |
$6K |
| J1100 |
Dexamethasone sodium phos |
2,025 |
1,978 |
$3K |
| J2405 |
Ondansetron hcl injection |
1,813 |
1,778 |
$2K |
| J2175 |
Meperidine hydrochl /100 mg |
638 |
627 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,459 |
1,436 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
384 |
375 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,938 |
1,896 |
$1K |
| 99221 |
|
14 |
14 |
$1K |
| 96379 |
|
362 |
359 |
$1K |
| 99238 |
|
14 |
14 |
$182.47 |
| J7120 |
Ringers lactate infusion |
322 |
320 |
$6.83 |
| 0710 |
|
1,295 |
1,256 |
$0.00 |
| 0250 |
|
70 |
22 |
$0.00 |
| 0360 |
|
5,275 |
2,136 |
$0.00 |
| J7030 |
Normal saline solution infus |
1,062 |
1,057 |
$0.00 |