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

Children's Dental Surgery Center, INC

Children's Dental Surgery Center, INC was paid $112K by Medicaid between Jan 2018 and Aug 2024, across 20 billing codes. Its largest line is G0330, Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room — 34% of everything it billed.

33Billing provider infoCHILDREN'S DENTAL SURGERY CENTER, INC
SANTA ANA, CA 92704
33aNPI1518995109assigned 06/30/2006
28Total paid$112K
24GClaims26,914
24DCodes billed20
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in California

Rank by total paid#200 of 347
Median peer was paid$191K
This provider vs. median0.6×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20185,578$11K
20198,076$35K
20203,806$13K
20215,654$9K
20221,414$4K
20232,373$25K
2024incomplete13$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 34% 274 272 $39K
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 17% 1,294 479 $19K
J3490 Unclassified drugs 17% 3,503 2,190 $18K
00170 Anesthesia for intraoral procedures, including biopsy 9.0% 1,488 805 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5.9% 2,029 2,019 $7K
96375 Therapeutic injection; each additional sequential IV push 5.3% 1,655 1,618 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2.3% 2,025 1,978 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1.9% 1,813 1,778 $2K
J2175 Injection, meperidine hydrochloride, per 100 mg 1.7% 638 627 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 1.4% 1,459 1,436 $2K
J2704 Injection, propofol, 10 mg 1.4% 384 375 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 1.3% 1,938 1,896 $1K
8 more codes
99221 <1% 14 $1K
96379 <1% 362 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 14 $182.47
J7120 Ringers lactate infusion, up to 1000 cc <1% 322 $6.83
0710 0% 1,295 $0.00
0250 0% 70 $0.00
0360 0% 5,275 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 1,062 $0.00

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 officialLEE, RICHARD (DENTAL DIRECTOR)
Same official

Other billing entities under LEE, RICHARD

Full network →
ProviderLocationPaid
Lee and Hong Professional Dental CorporationSanta Ana, CA$6.88M
Central Minnesota Mental Health CenterElk River, MN$1.26M
Hong and Lee Dental CorporationFullerton, CA$332K
481 Asc Project LLCOakland, CA$180K
East Idaho Ear Nose Throat-Facial Plastic Surgery PAIdaho Falls, ID$138K
Richard F Lee DDS INC.Downey, CA$112K
Richard Lee DMD PCHollywood, MD$90K
Richard Lee DMD PCLansdowne, VA$60K

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