COVINA SURGERY CENTER, LLC
NPI: 1811133663
· COVINA, CA 91723
· Ambulatory Surgical Clinic/Center
· NPI assigned 12/29/2008
$532K
Total Medicaid Paid
Provider Details
| Authorized Official | KHALAF, JOHN (DIRECTOR) |
| NPI Enumeration Date | 12/29/2008 |
Related Entities
Other providers sharing the same authorized official: KHALAF, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
611 |
$83K |
| 2019 |
93 |
$54K |
| 2020 |
29 |
$37K |
| 2021 |
98 |
$104K |
| 2022 |
74 |
$88K |
| 2023 |
94 |
$120K |
| 2024 |
29 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
607 |
452 |
$527K |
| 99236 |
Prolong inpt eval add15 m |
61 |
55 |
$3K |
| 99070 |
|
114 |
55 |
$1K |
| 99219 |
|
30 |
26 |
$1K |
| J0461 |
Injection, atropine sulfate, 0.01 mg |
30 |
27 |
$29.39 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
44 |
40 |
$27.85 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
44 |
40 |
$27.58 |
| J3490 |
Unclassified drugs |
56 |
25 |
$1.43 |
| 99217 |
|
29 |
25 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
13 |
13 |
$0.00 |