DENTAL SURGERY CENTERS OF AMERICA
NPI: 1609041813
· STOCKTON, CA 95210
· 261QA1903X
$6.82M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
2,427 |
$267K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00170 |
|
5,084 |
5,039 |
$1.64M |
| D2930 |
|
10,587 |
2,153 |
$1.22M |
| D3220 |
|
8,060 |
2,068 |
$792K |
| D9221 |
|
2,749 |
2,277 |
$510K |
| D9220 |
|
2,447 |
2,325 |
$486K |
| D7140 |
|
5,391 |
1,636 |
$305K |
| 41899 |
|
3,509 |
3,493 |
$274K |
| D2150 |
|
2,759 |
1,217 |
$181K |
| 99202 |
|
3,047 |
1,195 |
$170K |
| D1510 |
|
1,435 |
890 |
$169K |
| D9420 |
|
2,408 |
2,406 |
$168K |
| D2330 |
|
1,625 |
835 |
$123K |
| D0150 |
|
2,019 |
2,019 |
$116K |
| 99283 |
|
3,822 |
1,907 |
$111K |
| D2140 |
|
2,011 |
916 |
$108K |
| 99201 |
|
1,701 |
712 |
$104K |
| D0350 |
|
2,592 |
2,373 |
$74K |
| 0490 |
|
541 |
273 |
$56K |
| D0230 |
|
2,442 |
2,405 |
$54K |
| D0272 |
|
2,401 |
2,400 |
$27K |
| 99213 |
|
259 |
78 |
$19K |
| D1351 |
|
891 |
341 |
$19K |
| J7040 |
Normal saline solution infus |
3,240 |
3,223 |
$18K |
| G0330 |
Facility svs dental rehab |
12 |
12 |
$17K |
| D2331 |
|
177 |
120 |
$14K |
| 99199 |
|
180 |
41 |
$9K |
| D1120 |
|
391 |
391 |
$8K |
| D1208 |
|
380 |
380 |
$4K |
| D0145 |
|
93 |
93 |
$4K |
| D2160 |
|
48 |
39 |
$4K |
| 99211 |
|
78 |
78 |
$3K |
| 0360 |
|
12 |
12 |
$1K |
| G0378 |
Hospital observation per hr |
42 |
42 |
$998.34 |
| J7120 |
Ringers lactate infusion |
98 |
97 |
$647.78 |
| 0160 |
|
12 |
12 |
$404.36 |
| 0760 |
|
12 |
12 |
$235.84 |
| 0710 |
|
12 |
12 |
$180.62 |