Dental
Von Westernhagen Dental Corporation
Von Westernhagen Dental Corporation was paid $565K by Medicaid between Nov 2022 and Dec 2024, across 21 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 21% of everything it billed.
33Billing provider infoVON WESTERNHAGEN DENTAL CORPORATION
FONTANA, CA 92335
FONTANA, CA 92335
33aNPI1033847520assigned 08/11/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$565K
24GClaims16,960
24DCodes billed21
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#832 of 2,668
Median peer was paid$173K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2022 | 403 | $16K | |
| 2023 | 4,925 | $188K | |
| 2024incomplete | 11,632 | $361K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 1,847 | 1,832 | $121K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,676 | 1,667 | $83K |
| D0210 | Intraoral - complete series of radiographic images | 10.0% | 1,203 | 1,197 | $56K |
| D1110 | Prophylaxis - adult | 8.5% | 561 | 556 | $48K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 727 | 406 | $48K |
| D1206 | Topical application of fluoride varnish | 8.0% | 2,441 | 2,427 | $45K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 603 | 603 | $41K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 481 | 256 | $26K |
| D0350 | 4.0% | 2,462 | 666 | $22K | |
| D1310 | 3.6% | 462 | 462 | $20K | |
| D1351 | Sealant - per tooth | 2.6% | 400 | 105 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 2,629 | 1,045 | $10K |
9 more codes
| D0274 | Bitewings - four radiographic images | 1.4% | 502 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 118 | $7K |
| D1320 | 1.2% | 412 | $7K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 53 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 133 | $2K |
| D0601 | <1% | 115 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 79 | $900.00 |
| D0603 | <1% | 30 | $420.00 | |
| D0602 | <1% | 26 | $255.00 |
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 officialSTATHAKIS, PETER (STAFF)
| Provider | Location | Paid |
|---|---|---|
| Dental Dreams PLLC | Saginaw, MI | $4.01M |
| Family Dental Center, LLC | Columbia, SC | $3.87M |
| Family Dental LLC | Rock Hill, SC | $3.49M |
| Family Dental Center, LLC | Greenville, SC | $2.66M |
| Dental Dreams PLLC | Muskegon, MI | $1.90M |
| Von Westernhagen Dental Corporation | Highland, CA | $602K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.