Dental
Western Dental Services, INC.
Western Dental Services, INC. was paid $2.13M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoWESTERN DENTAL SERVICES, INC.
MANTECA, CA 95337
MANTECA, CA 95337
33aNPI1043356116assigned 01/29/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2.13M
24GClaims59,170
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#276 of 2,668
Median peer was paid$173K
This provider vs. median12×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official AVALOS, CINDY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 14,463 | $465K | |
| 2019 | 12,348 | $453K | |
| 2020 | 6,741 | $231K | |
| 2021 | 7,622 | $253K | |
| 2022 | 6,051 | $242K | |
| 2023 | 5,524 | $221K | |
| 2024incomplete | 6,421 | $265K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 8,075 | 8,052 | $397K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 5,010 | 4,994 | $305K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 6,478 | 6,451 | $231K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 4,751 | 4,726 | $222K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.6% | 8,902 | 8,772 | $184K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.3% | 1,700 | 1,145 | $114K |
| D0274 | Bitewings - four radiographic images | 5.1% | 5,108 | 5,084 | $108K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 7,335 | 7,307 | $81K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.4% | 619 | 364 | $72K |
| D2140 | 3.2% | 1,272 | 868 | $69K | |
| D8670 | Periodic orthodontic treatment visit | 3.2% | 253 | 251 | $69K |
| D1110 | Prophylaxis - adult | 2.0% | 518 | 518 | $43K |
24 more codes
| D1351 | Sealant - per tooth | 1.6% | 931 | $33K |
| D4341 | 1.3% | 399 | $27K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 710 | $27K |
| D0272 | Bitewings - two radiographic images | 1.2% | 2,157 | $25K |
| D9993 | 1.1% | 357 | $23K | |
| D0350 | 1.0% | 2,415 | $22K | |
| D1310 | <1% | 384 | $18K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 384 | $13K |
| D0330 | Panoramic radiographic image | <1% | 390 | $10K |
| D2740 | Crown - porcelain/ceramic | <1% | 16 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 113 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 38 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 35 | $3K |
| D4910 | <1% | 49 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 174 | $3K |
| D2160 | <1% | 31 | $2K | |
| D9910 | <1% | 47 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 25 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 17 | $1K |
| D0601 | <1% | 70 | $1K | |
| D4342 | <1% | 23 | $966.00 | |
| D0602 | <1% | 27 | $405.00 | |
| D0603 | <1% | 16 | $240.00 | |
| D1330 | 0% | 341 | $0.00 |
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 officialAVALOS, CINDY (PPOCOORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Western Dental Services, INC. | Indio, CA | $5.63M |
| Western Dental Services, INC | Apple Valley, CA | $3.83M |
| Western Dental Services, INC. | El Centro, CA | $3.39M |
| Western Dental Services, INC. | El Cerrito, CA | $2.34M |
| Western Dental Services, INC. | Antioch, CA | $2.33M |
| Western Dental Services, INC. | Banning, CA | $2.31M |
| Western Dental Services, INC. | Manteca, CA | $2.21M |
| Western Dental Services, INC. | Murrieta, CA | $2.02M |
| Western Dental Services, INC. | Salinas, CA | $1.96M |
| Western Dental Services, INC. | Palm Springs, CA | $1.81M |
| Western Dental Services, INC. | Vacaville, CA | $1.80M |
| Western Dental Services, INC. | National City, CA | $1.66M |
| Western Dental Services, INC. | Watsonville, CA | $1.58M |
| Western Dental Services, INC. | Santa Rosa, CA | $1.21M |
| Western Dental Services, INC. | Vallejo, CA | $1.11M |
| Western Dental Services, INC. | Santa Cruz, CA | $1.07M |
| Western Dental Services, INC. | Riverside, CA | $425K |
| Adelante Behavioral Health, LLC | Fullerton, CA | $339K |
| Western Dental Services, INC. | Salinas, CA | $243K |
| Western Dental Services, INC. | Claremont, CA | $134K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.