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

Dental Surgery Centers of America

Dental Surgery Centers of America was paid $7.22M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 26% of everything it billed.

33Billing provider infoDENTAL SURGERY CENTERS OF AMERICA
ATWATER, CA 95301
33aNPI1528154986assigned 10/05/2006
28Total paid$7.22M
24GClaims92,844
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in California

Rank by total paid#16 of 347
Median peer was paid$191K
This provider vs. median38×

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$400K$600K2018201920202021202220232024
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
201846,750$3.58M
201928,581$2.49M
20201,951$146K
20213,777$286K
20223,100$194K
20235,304$260K
2024incomplete3,381$267K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 26% 16,301 2,901 $1.86M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 14,168 4,475 $1.01M
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 12% 8,486 2,505 $832K
D9220 8.8% 3,350 3,140 $638K
00170 Anesthesia for intraoral procedures, including biopsy 7.0% 1,801 1,793 $504K
D9221 5.3% 3,340 2,751 $386K
41899 Unlisted procedure, dentoalveolar structures 5.0% 5,298 5,258 $359K
D7140 Extraction, erupted tooth or exposed root 3.6% 4,668 1,860 $262K
D9420 3.1% 3,268 3,260 $227K
D1510 2.6% 1,616 1,053 $189K
D2150 Silver amalgam - two surfaces, primary or permanent 2.5% 2,749 1,290 $181K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.0% 4,470 4,470 $144K
19 more codes
D0150 Comprehensive oral evaluation - new or established patient 1.9% 2,517 $138K
D2140 1.3% 1,734 $94K
D0350 1.3% 3,412 $91K
D0230 Intraoral - periapical each additional radiographic image <1% 3,334 $72K
D2330 <1% 780 $59K
0360 <1% 402 $39K
D0272 Bitewings - two radiographic images <1% 3,177 $35K
D1351 Sealant - per tooth <1% 1,368 $30K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 4,512 $25K
0160 <1% 298 $11K
D1120 Dental cleaning, child <1% 436 $9K
D0145 Oral evaluation for a patient under three years of age <1% 144 $7K
0710 <1% 381 $7K
0761 <1% 198 $4K
D2160 <1% 46 $4K
D0120 Dental checkup, returning patient <1% 114 $4K
0760 <1% 110 $3K
D1208 Topical application of fluoride, excluding varnish <1% 306 $3K
J7120 Ringers lactate infusion, up to 1000 cc <1% 60 $399.84

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

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