NPI: 1871926428 · HOUSTON, TX 77017 · Ambulatory Surgical Clinic/Center · NPI assigned 08/19/2013
Authorized official LARSEN, DEVIN controls 20+ related entities in our dataset. Read more
| Authorized Official | LARSEN, DEVIN (CEO) |
| Parent Organization | DENTAL ASC, LLC |
| NPI Enumeration Date | 08/19/2013 |
Other providers sharing the same authorized official: LARSEN, DEVIN
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 41 | $0.00 |
| 2020 | 175 | $85K |
| 2021 | 1,089 | $527K |
| 2022 | 1,655 | $853K |
| 2023 | 1,755 | $998K |
| 2024 | 1,699 | $1.23M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 6,020 | 5,764 | $3.19M |
| 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 | 368 | 368 | $503K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 26 | 18 | $387.35 |