WESTERN DENTAL SERVICES, INC.
NPI: 1043356116
· MANTECA, CA 95337
· 1223G0001X
$2.13M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
6,421 |
$265K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
8,075 |
8,052 |
$397K |
| D0150 |
|
5,010 |
4,994 |
$305K |
| D1120 |
|
6,478 |
6,451 |
$231K |
| D0210 |
|
4,751 |
4,726 |
$222K |
| D0230 |
|
8,902 |
8,772 |
$184K |
| D2150 |
|
1,700 |
1,145 |
$114K |
| D0274 |
|
5,108 |
5,084 |
$108K |
| D1208 |
|
7,335 |
7,307 |
$81K |
| D7210 |
|
619 |
364 |
$72K |
| D2140 |
|
1,272 |
868 |
$69K |
| D8670 |
|
253 |
251 |
$69K |
| D1110 |
|
518 |
518 |
$43K |
| D1351 |
|
931 |
218 |
$33K |
| D4341 |
|
399 |
157 |
$27K |
| D9230 |
|
710 |
679 |
$27K |
| D0272 |
|
2,157 |
2,142 |
$25K |
| D9993 |
|
357 |
357 |
$23K |
| D0350 |
|
2,415 |
1,453 |
$22K |
| D1310 |
|
384 |
384 |
$18K |
| D0140 |
|
384 |
384 |
$13K |
| D0330 |
|
390 |
387 |
$10K |
| D2740 |
|
16 |
13 |
$8K |
| D7140 |
|
113 |
50 |
$6K |
| D2930 |
|
38 |
30 |
$4K |
| D3220 |
|
35 |
27 |
$3K |
| D4910 |
|
49 |
49 |
$3K |
| D1206 |
|
174 |
170 |
$3K |
| D2160 |
|
31 |
25 |
$2K |
| D9910 |
|
47 |
47 |
$2K |
| D2391 |
|
25 |
15 |
$1K |
| D2392 |
|
17 |
14 |
$1K |
| D0601 |
|
70 |
70 |
$1K |
| D4342 |
|
23 |
12 |
$966.00 |
| D0602 |
|
27 |
27 |
$405.00 |
| D0603 |
|
16 |
16 |
$240.00 |
| D1330 |
|
341 |
339 |
$0.00 |