WEST PALM BEACH CHILDREN'S SURGERY CENTER, LLC

NPI: 1952404550 · PALM SPRINGS, FL 33461 · Ambulatory Surgical Clinic/Center · NPI assigned 09/07/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$1.63M

Total Medicaid Paid

26,016

Total Claims

13,658

Beneficiaries

Codes Billed

2023-09

First Month

2024-12

Last Month

Provider Details

Authorized Official	LARSEN, DEVIN (CEO)
NPI Enumeration Date	09/07/2006

Other providers sharing the same authorized official: LARSEN, DEVIN

Provider	City	State	Total 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
CHILDREN 1ST GRAND PRAIRIE, LLC	GRAND PRAIRIE	TX	$3.31M
DENTAL SURGERY CENTERS OF AMERICA	SANTA MARIA	CA	$2.66M
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

Year	Claims	Total Paid
2023	4,845	$228K
2024	21,171	$1.40M

Code	Description	Claims	Beneficiaries	Total Paid
D7140	Extraction, erupted tooth or exposed root	4,706	1,344	$873K
D2930	Prefabricated stainless steel crown - primary tooth	4,161	1,357	$575K
D2391	Resin-based composite - one surface, posterior, primary or permanent	501	284	$64K
D2335		80	46	$38K
D2330		615	367	$29K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	112	69	$16K
D2934		323	155	$13K
D2331		109	78	$7K
D9420		2,222	1,637	$5K
D0210	Intraoral - complete series of radiographic images	2,220	1,638	$3K
D0350		1,252	712	$2K
D0150	Comprehensive oral evaluation - new or established patient	2,168	1,591	$2K
D3120		221	105	$2K
D1351	Sealant - per tooth	2,850	1,021	$748.53
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	151	73	$720.00
D1330		2,152	1,583	$476.04
D0603		2,173	1,598	$163.85