Dental
Western Dental Services, INC.
Western Dental Services, INC. was paid $246K by Medicaid between Aug 2023 and Nov 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 33% of everything it billed.
33Billing provider infoWESTERN DENTAL SERVICES, INC.
WOODLAND, CA 95695
WOODLAND, CA 95695
33aNPI1013611615assigned 03/28/2023
33bProvider typeDentist
28Total paid$246K
24GClaims5,133
24DCodes billed14
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,047 of 2,314
Median peer was paid$185K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2023 | 1,035 | $46K | |
| 2024incomplete | 4,098 | $200K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 33% | 1,229 | 1,229 | $81K |
| D0210 | Intraoral - complete series of radiographic images | 22% | 1,143 | 1,143 | $55K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 443 | 255 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.8% | 400 | 242 | $22K |
| D4341 | 7.7% | 272 | 105 | $19K | |
| D1110 | Prophylaxis - adult | 6.3% | 174 | 174 | $16K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.1% | 85 | 39 | $10K |
| D0350 | 2.4% | 616 | 210 | $6K | |
| D1206 | Topical application of fluoride varnish | 2.1% | 315 | 315 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 88 | 83 | $1K |
| D0330 | Panoramic radiographic image | <1% | 84 | 84 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | 12 | $1K |
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 officialDEMBERECKY, WILLIAM (EVP & CHIEF STRATEGY AND GROWTH)
| Provider | Location | Paid |
|---|---|---|
| Western Dental Services, INC. | Costa Mesa, CA | $918K |
| Western Dental Services, INC. | Arroyo Grande, CA | $194K |
| Emily Lee DDS PC | Sparks, NV | $174K |
| Western Dental Services, INC. | Reseda, CA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.