WESTERN DENTAL SERVICES, INC.
NPI: 1003306176
· SAN JOSE, CA 95123
· 122300000X
$1.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,990 |
$84K |
| 2019 |
5,293 |
$228K |
| 2020 |
3,610 |
$136K |
| 2021 |
4,976 |
$186K |
| 2022 |
5,269 |
$221K |
| 2023 |
4,981 |
$217K |
| 2024 |
4,744 |
$217K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
6,837 |
6,823 |
$449K |
| D0210 |
|
4,787 |
4,776 |
$228K |
| D0120 |
|
2,167 |
2,153 |
$138K |
| D0230 |
|
5,466 |
4,828 |
$97K |
| D1120 |
|
1,926 |
1,919 |
$78K |
| D0274 |
|
3,006 |
2,984 |
$63K |
| D1110 |
|
695 |
694 |
$62K |
| D7210 |
|
372 |
202 |
$44K |
| D4341 |
|
502 |
192 |
$35K |
| D1208 |
|
2,554 |
2,539 |
$33K |
| D2150 |
|
272 |
175 |
$18K |
| D9430 |
|
512 |
512 |
$16K |
| D0330 |
|
454 |
451 |
$8K |
| D0140 |
|
108 |
108 |
$4K |
| D1206 |
|
273 |
273 |
$4K |
| D0272 |
|
228 |
223 |
$3K |
| D0220 |
|
184 |
184 |
$2K |
| D0350 |
|
195 |
95 |
$2K |
| D9230 |
|
43 |
38 |
$2K |
| D2140 |
|
30 |
25 |
$2K |
| D1310 |
|
25 |
25 |
$1K |
| D4910 |
|
12 |
12 |
$847.00 |
| D9993 |
|
12 |
12 |
$780.00 |
| D0270 |
|
203 |
199 |
$555.00 |