WESTERN DENTAL SERVICES, INC.
NPI: 1053473389
· LOS ANGELES, CA 90023
· 1223G0001X
$938K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,392 |
$162K |
| 2019 |
3,870 |
$165K |
| 2020 |
2,996 |
$99K |
| 2021 |
2,780 |
$103K |
| 2022 |
9,511 |
$221K |
| 2023 |
4,787 |
$117K |
| 2024 |
1,991 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
3,536 |
3,522 |
$199K |
| D0210 |
|
3,363 |
3,344 |
$134K |
| D0120 |
|
3,603 |
3,582 |
$134K |
| D7210 |
|
1,094 |
502 |
$99K |
| D0230 |
|
4,538 |
4,000 |
$62K |
| D1110 |
|
888 |
887 |
$58K |
| D4341 |
|
1,373 |
495 |
$47K |
| D0274 |
|
3,124 |
3,090 |
$47K |
| D1206 |
|
2,207 |
2,200 |
$28K |
| D8670 |
|
144 |
139 |
$27K |
| D9999 |
|
666 |
603 |
$25K |
| D2392 |
|
542 |
337 |
$22K |
| D1120 |
|
1,112 |
1,111 |
$22K |
| D7140 |
|
189 |
66 |
$9K |
| D2150 |
|
83 |
40 |
$5K |
| D0350 |
|
378 |
198 |
$4K |
| D0140 |
|
74 |
74 |
$3K |
| D4910 |
|
110 |
110 |
$2K |
| D2391 |
|
58 |
29 |
$2K |
| D1208 |
|
284 |
284 |
$2K |
| D2393 |
|
25 |
24 |
$2K |
| D0330 |
|
221 |
221 |
$2K |
| D9910 |
|
29 |
29 |
$1K |
| D0270 |
|
12 |
12 |
$45.00 |
| D0220 |
|
62 |
62 |
$30.00 |
| D0272 |
|
13 |
13 |
$26.00 |
| D4381 |
|
736 |
124 |
$0.00 |
| D4921 |
|
1,190 |
362 |
$0.00 |
| D1330 |
|
1,673 |
1,667 |
$0.00 |