Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › GRAND PRAIRIE › CHILDREN 1ST GRAND PRAIRIE, LLC

CHILDREN 1ST GRAND PRAIRIE, LLC

NPI: 1740561018 · GRAND PRAIRIE, TX 75052 · Ambulatory Surgical Clinic/Center · NPI assigned 08/31/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LARSEN, DEVIN controls 20+ related entities in our dataset. Read more

$3.31M
Total Medicaid Paid
5,939
Total Claims
5,574
Beneficiaries
3
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSEN, DEVIN (CEO)
Parent OrganizationDENTAL ASC, LLC
NPI Enumeration Date08/31/2011

Related Entities

Other providers sharing the same authorized official: LARSEN, DEVIN

ProviderCityStateTotal Paid
VALLARINE DENTAL CORPORATION FRESNO CA $38.23M
COFFEE SURGERY CENTER, LLC BAKERSFIELD CA $14.86M
KC CHILDRENS SURGERY CENTER LLC KANSAS CITY KS $13.76M
HOUSTON CHILDREN'S DENTAL CENTER, LLC HOUSTON TX $11.03M
DENTAL SURGICENTER OF LOUISVILLE LLC LOUISVILLE KY $8.44M
DENTAL SURGERY CENTERS OF AMERICA ATWATER CA $7.22M
DENTAL SURGERY CENTERS OF AMERICA STOCKTON CA $6.82M
JACKSONVILLE CHILDREN'S SURGERY CENTER, LLC JACKSONVILLE FL $6.31M
MEDICAL AND DENTAL CENTER OF NEVADA LLC LAS VEGAS NV $6.00M
SAN ANTONIO CHILDRENS SURGICAL SAN ANTONIO TX $4.91M
CHILDREN 1ST HOUSTON SOUTH, LLC HOUSTON TX $3.69M
FORT MYERS CHILDREN'S SURGERY CENTER, LLC FT MYERS FL $3.42M
VISALIA CHILDREN'S DENTAL SURGERY CENTER INC VISALIA CA $3.35M
DENTAL SURGERY CENTERS OF AMERICA SANTA MARIA CA $2.66M
WEST PALM BEACH CHILDREN'S SURGERY CENTER, LLC PALM SPRINGS FL $1.63M
BLUE CLOUD ANESTHESIA, LLC TAMPA FL $1.57M
SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC RALEIGH NC $1.38M
BLUE CLOUD ANESTHESIA, LLC ORLANDO FL $1.36M
DENTAL SURGICENTER OF LOUISVILLE LLC LOUISVILLE KY $965K
THE DIGESTIVE ENDOSCOPY CENTER OF MICHIGAN LLC FLINT MI $759K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 187 $96K
2021 1,165 $534K
2022 1,002 $507K
2023 1,652 $803K
2024 1,933 $1.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41899 Unlisted procedure, dentoalveolar structures 5,363 5,015 $2.69M
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 458 451 $611K
00170 Anesthesia for intraoral procedures, including biopsy 118 108 $7K