Clinic
A Westfall Dental Corporation
A Westfall Dental Corporation was paid $203K by Medicaid between Jan 2020 and Mar 2022, across 19 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.
33Billing provider infoA WESTFALL DENTAL CORPORATION
SOUTH LAKE TAHOE, CA 96150
SOUTH LAKE TAHOE, CA 96150
33aNPI1003468976assigned 07/11/2019
33bProvider typeDental Clinic/Center
28Total paid$203K
24GClaims7,093
24DCodes billed19
24AFirst – last monthJan 2020 – Mar 2022
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#564 of 1,135
Median peer was paid$200K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,993 | $109K | |
| 2021 | 3,751 | $85K | |
| 2022 | 349 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 621 | 621 | $41K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 551 | 551 | $26K |
| D1110 | Prophylaxis - adult | 13% | 291 | 291 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | 9.7% | 343 | 130 | $20K |
| D4910 | 5.2% | 137 | 137 | $11K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 201 | 103 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 162 | 99 | $10K |
| D0350 | 4.5% | 974 | 479 | $9K | |
| D9430 | 4.5% | 283 | 281 | $9K | |
| D1206 | Topical application of fluoride varnish | 4.0% | 534 | 533 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 1,903 | 678 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 155 | 155 | $7K |
7 more codes
| D0330 | Panoramic radiographic image | 2.2% | 149 | $4K |
| D0274 | Bitewings - four radiographic images | 1.8% | 170 | $4K |
| D4341 | 1.3% | 37 | $3K | |
| D1120 | Dental cleaning, child | 1.1% | 77 | $2K |
| D0270 | 1.0% | 422 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 69 | $828.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWESTFALL, APRIL (CEO)
Parent organizationA WESTFALL DENTAL CORPORATION
| Provider | Location | Paid |
|---|---|---|
| A Westfall Dental Corporation | Diamond Springs, CA | $3.74M |
| A Westfall Dental Corporation | South Lake Tahoe, CA | $3.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.