NPI: 1609041813 · STOCKTON, CA 95210 · Ambulatory Surgical Clinic/Center · NPI assigned 04/29/2008
Authorized official LARSEN, DEVIN controls 20+ related entities in our dataset. Read more
| Authorized Official | LARSEN, DEVIN (CEO) |
| NPI Enumeration Date | 04/29/2008 |
Other providers sharing the same authorized official: LARSEN, DEVIN
| 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 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 5,084 | 5,039 | $1.64M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10,587 | 2,153 | $1.22M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8,060 | 2,068 | $792K |
| D9221 | 2,749 | 2,277 | $510K | |
| D9220 | 2,447 | 2,325 | $486K | |
| D7140 | Extraction, erupted tooth or exposed root | 5,391 | 1,636 | $305K |
| 41899 | Unlisted procedure, dentoalveolar structures | 3,509 | 3,493 | $274K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2,759 | 1,217 | $181K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3,047 | 1,195 | $170K |
| D1510 | 1,435 | 890 | $169K | |
| D9420 | 2,408 | 2,406 | $168K | |
| D2330 | 1,625 | 835 | $123K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,019 | 2,019 | $116K |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 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 | Intraoral - periapical each additional radiographic image | 2,442 | 2,405 | $54K |
| D0272 | Bitewings - two radiographic images | 2,401 | 2,400 | $27K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 259 | 78 | $19K |
| D1351 | Sealant - per tooth | 891 | 341 | $19K |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 3,240 | 3,223 | $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 | 12 | 12 | $17K |
| D2331 | 177 | 120 | $14K | |
| 99199 | Unlisted special service, procedure or report | 180 | 41 | $9K |
| D1120 | Prophylaxis - child | 391 | 391 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 380 | 380 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | 93 | 93 | $4K |
| D2160 | 48 | 39 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 78 | 78 | $3K |
| 0360 | 12 | 12 | $1K | |
| G0378 | Hospital observation service, per hour | 42 | 42 | $998.34 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 98 | 97 | $647.78 |
| 0160 | 12 | 12 | $404.36 | |
| 0760 | 12 | 12 | $235.84 | |
| 0710 | 12 | 12 | $180.62 |