Clinic
Dental Surgery Centers of America
Dental Surgery Centers of America was paid $6.82M by Medicaid between Jan 2018 and Oct 2024, across 37 billing codes. Its largest line is 00170, Anesthesia for intraoral procedures, including biopsy — 24% of everything it billed.
33Billing provider infoDENTAL SURGERY CENTERS OF AMERICA
STOCKTON, CA 95210
STOCKTON, CA 95210
33aNPI1609041813assigned 04/29/2008
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$6.82M
24GClaims72,567
24DCodes billed37
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in California
Rank by total paid#19 of 347
Median peer was paid$191K
This provider vs. median36×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 30,042 | $2.52M | |
| 2019 | 26,413 | $2.50M | |
| 2020 | 3,219 | $376K | |
| 2021 | 3,895 | $425K | |
| 2022 | 2,984 | $282K | |
| 2023 | 3,587 | $444K | |
| 2024incomplete | 2,427 | $267K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 24% | 5,084 | 5,039 | $1.64M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 18% | 10,587 | 2,153 | $1.22M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 12% | 8,060 | 2,068 | $792K |
| D9221 | 7.5% | 2,749 | 2,277 | $510K | |
| D9220 | 7.1% | 2,447 | 2,325 | $486K | |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 5,391 | 1,636 | $305K |
| 41899 | Unlisted procedure, dentoalveolar structures | 4.0% | 3,509 | 3,493 | $274K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.7% | 2,759 | 1,217 | $181K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.5% | 3,047 | 1,195 | $170K |
| D1510 | 2.5% | 1,435 | 890 | $169K | |
| D9420 | 2.5% | 2,408 | 2,406 | $168K | |
| D2330 | 1.8% | 1,625 | 835 | $123K |
25 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 2,019 | $116K |
| 99283 | Emergency room visit (moderate) | 1.6% | 3,822 | $111K |
| D2140 | 1.6% | 2,011 | $108K | |
| 99201 | 1.5% | 1,701 | $104K | |
| D0350 | 1.1% | 2,592 | $74K | |
| 0490 | <1% | 541 | $56K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,442 | $54K |
| D0272 | Bitewings - two radiographic images | <1% | 2,401 | $27K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 259 | $19K |
| D1351 | Sealant - per tooth | <1% | 891 | $19K |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 3,240 | $18K |
| 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 | <1% | 12 | $17K |
| D2331 | <1% | 177 | $14K | |
| 99199 | Unlisted special service, procedure or report | <1% | 180 | $9K |
| D1120 | Dental cleaning, child | <1% | 391 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 380 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 93 | $4K |
| D2160 | <1% | 48 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 78 | $3K |
| 0360 | <1% | 12 | $1K | |
| G0378 | Hospital observation service, per hour | <1% | 42 | $998.34 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 98 | $647.78 |
| 0160 | <1% | 12 | $404.36 | |
| 0760 | <1% | 12 | $235.84 | |
| 0710 | <1% | 12 | $180.62 |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.