WESTERN DENTAL SERVICES, INC.
NPI: 1063576213
· SAN DIEGO, CA 92117
· 1223G0001X
$965K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,003 |
$169K |
| 2019 |
4,309 |
$182K |
| 2020 |
2,711 |
$106K |
| 2021 |
2,343 |
$105K |
| 2022 |
2,555 |
$109K |
| 2023 |
3,673 |
$143K |
| 2024 |
3,296 |
$150K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
3,171 |
3,160 |
$198K |
| D0210 |
|
3,172 |
3,158 |
$149K |
| D0120 |
|
2,445 |
2,439 |
$116K |
| D1110 |
|
1,311 |
1,308 |
$104K |
| D2392 |
|
1,551 |
943 |
$103K |
| D2391 |
|
1,250 |
686 |
$68K |
| D0230 |
|
2,421 |
2,352 |
$50K |
| D0274 |
|
1,962 |
1,946 |
$39K |
| D1120 |
|
1,120 |
1,118 |
$35K |
| D2393 |
|
228 |
141 |
$18K |
| D1208 |
|
1,556 |
1,553 |
$16K |
| D1206 |
|
842 |
841 |
$12K |
| D0350 |
|
1,213 |
570 |
$11K |
| D7210 |
|
95 |
40 |
$11K |
| D4341 |
|
151 |
52 |
$10K |
| D0330 |
|
663 |
659 |
$7K |
| D4342 |
|
192 |
69 |
$7K |
| D9910 |
|
105 |
102 |
$6K |
| D1351 |
|
178 |
50 |
$3K |
| D7140 |
|
22 |
15 |
$1K |
| D4910 |
|
12 |
12 |
$924.00 |
| D9430 |
|
14 |
14 |
$448.00 |
| D0272 |
|
37 |
37 |
$406.00 |
| D1330 |
|
179 |
179 |
$0.00 |