NPI: 1528154986 · ATWATER, CA 95301 · Ambulatory Surgical Clinic/Center · NPI assigned 10/05/2006
Authorized official LARSEN, DEVIN controls 20+ related entities in our dataset. Read more
| Authorized Official | LARSEN, DEVIN (CEO) |
| NPI Enumeration Date | 10/05/2006 |
Other providers sharing the same authorized official: LARSEN, DEVIN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 46,750 | $3.58M |
| 2019 | 28,581 | $2.49M |
| 2020 | 1,951 | $146K |
| 2021 | 3,777 | $286K |
| 2022 | 3,100 | $194K |
| 2023 | 5,304 | $260K |
| 2024 | 3,381 | $267K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16,301 | 2,901 | $1.86M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14,168 | 4,475 | $1.01M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8,486 | 2,505 | $832K |
| D9220 | 3,350 | 3,140 | $638K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 1,801 | 1,793 | $504K |
| D9221 | 3,340 | 2,751 | $386K | |
| 41899 | Unlisted procedure, dentoalveolar structures | 5,298 | 5,258 | $359K |
| D7140 | Extraction, erupted tooth or exposed root | 4,668 | 1,860 | $262K |
| D9420 | 3,268 | 3,260 | $227K | |
| D1510 | 1,616 | 1,053 | $189K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2,749 | 1,290 | $181K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4,470 | 4,470 | $144K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,517 | 2,515 | $138K |
| D2140 | 1,734 | 962 | $94K | |
| D0350 | 3,412 | 3,118 | $91K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3,334 | 3,188 | $72K |
| D2330 | 780 | 486 | $59K | |
| 0360 | 402 | 333 | $39K | |
| D0272 | Bitewings - two radiographic images | 3,177 | 3,175 | $35K |
| D1351 | Sealant - per tooth | 1,368 | 474 | $30K |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 4,512 | 4,473 | $25K |
| 0160 | 298 | 258 | $11K | |
| D1120 | Prophylaxis - child | 436 | 435 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | 144 | 144 | $7K |
| 0710 | 381 | 340 | $7K | |
| 0761 | 198 | 169 | $4K | |
| D2160 | 46 | 38 | $4K | |
| D0120 | Periodic oral evaluation - established patient | 114 | 113 | $4K |
| 0760 | 110 | 110 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | 306 | 306 | $3K |
| J7120 | Ringers lactate infusion, up to 1000 cc | 60 | 60 | $399.84 |