WESTERN DENTAL SERVICES, INC.
NPI: 1023582657
· SANTA ROSA, CA 95405
· 122300000X
$743K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
537 |
$25K |
| 2022 |
2,896 |
$118K |
| 2023 |
5,026 |
$233K |
| 2024 |
6,264 |
$367K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
2,889 |
2,873 |
$190K |
| D0210 |
|
2,344 |
2,331 |
$112K |
| D1110 |
|
1,054 |
1,047 |
$93K |
| D7210 |
|
695 |
298 |
$80K |
| D4341 |
|
907 |
284 |
$63K |
| D2391 |
|
1,019 |
436 |
$56K |
| D2392 |
|
556 |
387 |
$37K |
| D0120 |
|
272 |
272 |
$22K |
| D1206 |
|
1,253 |
1,240 |
$22K |
| D0230 |
|
1,054 |
883 |
$16K |
| D0330 |
|
458 |
452 |
$11K |
| D0274 |
|
496 |
492 |
$11K |
| D4910 |
|
116 |
116 |
$9K |
| D2751 |
|
18 |
14 |
$9K |
| D0350 |
|
787 |
286 |
$7K |
| D4342 |
|
110 |
48 |
$5K |
| D2330 |
|
18 |
13 |
$1K |
| D1120 |
|
12 |
12 |
$630.00 |
| D0270 |
|
34 |
29 |
$170.00 |
| D0220 |
|
13 |
13 |
$156.00 |
| D1330 |
|
618 |
608 |
$0.00 |