NPI: 1982709572 · FRESNO, CA 93721 · Ambulatory Surgical Clinic/Center · NPI assigned 09/14/2006
Authorized official LARSEN, DEVIN controls 20+ related entities in our dataset. Read more
| Authorized Official | LARSEN, DEVIN (CEO) |
| NPI Enumeration Date | 09/14/2006 |
Other providers sharing the same authorized official: LARSEN, DEVIN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 97,517 | $5.67M |
| 2019 | 91,837 | $5.46M |
| 2020 | 71,188 | $3.98M |
| 2021 | 95,855 | $5.24M |
| 2022 | 111,429 | $5.76M |
| 2023 | 111,863 | $5.57M |
| 2024 | 117,143 | $6.56M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 140,838 | 22,321 | $16.37M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 74,353 | 18,561 | $7.23M |
| D7140 | Extraction, erupted tooth or exposed root | 38,224 | 12,721 | $2.13M |
| D9420 | 25,874 | 25,555 | $1.83M | |
| D0150 | Comprehensive oral evaluation - new or established patient | 20,403 | 20,343 | $1.28M |
| D1510 | 7,408 | 5,092 | $1.14M | |
| D0350 | 58,671 | 24,684 | $805K | |
| D2140 | 15,027 | 7,905 | $802K | |
| D2330 | 9,961 | 5,282 | $750K | |
| 0490 | 9,185 | 2,165 | $594K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8,768 | 4,050 | $575K |
| D0230 | Intraoral - periapical each additional radiographic image | 59,477 | 20,575 | $499K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1,416 | 1,239 | $496K |
| D1351 | Sealant - per tooth | 16,924 | 5,910 | $492K |
| D9430 | 13,953 | 13,907 | $441K | |
| 99199 | Unlisted special service, procedure or report | 8,026 | 1,860 | $383K |
| 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 | 1,160 | 1,150 | $371K |
| 41899 | Unlisted procedure, dentoalveolar structures | 24,220 | 24,085 | $312K |
| D0272 | Bitewings - two radiographic images | 20,596 | 20,529 | $240K |
| D0210 | Intraoral - complete series of radiographic images | 4,889 | 4,878 | $215K |
| D9610 | 5,805 | 5,783 | $176K | |
| D9222 | 1,239 | 1,239 | $152K | |
| D0145 | Oral evaluation for a patient under three years of age | 2,443 | 2,437 | $133K |
| 0360 | 18,297 | 16,665 | $129K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2,444 | 1,298 | $129K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 21,108 | 21,020 | $128K |
| Z7506 | 762 | 762 | $71K | |
| 0160 | 17,239 | 17,168 | $49K | |
| D1120 | Prophylaxis - child | 1,430 | 1,429 | $48K |
| J7120 | Ringers lactate infusion, up to 1000 cc | 24,326 | 23,963 | $44K |
| D0120 | Periodic oral evaluation - established patient | 943 | 942 | $39K |
| Z7514 | 800 | 800 | $30K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 428 | 261 | $27K |
| 0710 | 17,475 | 17,398 | $25K | |
| 0760 | 17,478 | 17,429 | $25K | |
| D1206 | Topical application of fluoride varnish | 1,244 | 1,244 | $24K |
| D2331 | 294 | 185 | $22K | |
| Z7500 | 763 | 763 | $16K | |
| Z7512 | 762 | 762 | $13K | |
| 0761 | 1,997 | 1,983 | $5K | |
| Z7508 | 16 | 16 | $594.08 | |
| D1999 | 166 | 166 | $92.00 |