NPI: 1063576213 · SAN DIEGO, CA 92117 · General Practice Dentistry · NPI assigned 12/21/2006
Authorized official KING, MARINA controls 18+ related entities in our dataset. Read more
| Authorized Official | KING, MARINA (PPO COORDINATOR) |
| NPI Enumeration Date | 12/21/2006 |
Other providers sharing the same authorized official: KING, MARINA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WESTERN DENTAL SERVICES, INC. | MODESTO | CA | $6.77M |
| WESTERN DENTAL SERVICES, INC. | VICTORVILLE | CA | $5.98M |
| WESTERN DENTAL SERVICES, INC. | CONCORD | CA | $4.69M |
| WESTERN DENTAL SERVICES, INC. | HAYWARD | CA | $4.29M |
| WESTERN DENTAL SERVICES, INC. | TRACY | CA | $4.27M |
| WESTERN DENTAL SERVICES, INC. | SAN LEANDRO | CA | $2.71M |
| WESTERN DENTAL SERVICES, INC. | EL CAJON | CA | $2.49M |
| WESTERN DENTAL SERVICES, INC. | OCEANSIDE | CA | $2.32M |
| WESTERN DENTAL SERVICES, INC. | FAIRFIELD | CA | $2.16M |
| WESTERN DENTAL SERVICES, INC. | CHULA VISTA | CA | $2.10M |
| WESTERN DENTAL SERVICES, INC. | SAN JOSE | CA | $2.08M |
| WESTERN DENTAL SERVICES, INC. | CLAREMONT | CA | $1.99M |
| WESTERN DENTAL SERVICES, INC. | REDWOOD CITY | CA | $1.42M |
| WESTERN DENTAL SERVICES, INC. | SANTA ROSA | CA | $1.22M |
| WESTERN DENTAL SERVICES, INC. | SAN DIEGO | CA | $1.19M |
| WESTERN DENTAL SERVICES, INC. | ESCONDIDO | CA | $1.09M |
| WESTERN DENTAL SERVICES, INC. | POWAY | CA | $998K |
| WESTERN DENTAL SERVICES, INC. | SAN JOSE | CA | $836K |
| 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 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 3,171 | 3,160 | $198K |
| D0210 | Intraoral - complete series of radiographic images | 3,172 | 3,158 | $149K |
| D0120 | Periodic oral evaluation - established patient | 2,445 | 2,439 | $116K |
| D1110 | Prophylaxis - adult | 1,311 | 1,308 | $104K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,551 | 943 | $103K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,250 | 686 | $68K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,421 | 2,352 | $50K |
| D0274 | Bitewings - four radiographic images | 1,962 | 1,946 | $39K |
| D1120 | Prophylaxis - child | 1,120 | 1,118 | $35K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 228 | 141 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 1,556 | 1,553 | $16K |
| D1206 | Topical application of fluoride varnish | 842 | 841 | $12K |
| D0350 | 1,213 | 570 | $11K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 95 | 40 | $11K |
| D4341 | 151 | 52 | $10K | |
| D0330 | Panoramic radiographic image | 663 | 659 | $7K |
| D4342 | 192 | 69 | $7K | |
| D9910 | 105 | 102 | $6K | |
| D1351 | Sealant - per tooth | 178 | 50 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 22 | 15 | $1K |
| D4910 | 12 | 12 | $924.00 | |
| D9430 | 14 | 14 | $448.00 | |
| D0272 | Bitewings - two radiographic images | 37 | 37 | $406.00 |
| D1330 | 179 | 179 | $0.00 |