WESTERN DENTAL SERVICES, INC.
NPI: 1083128870
· COVINA, CA 91722
· 122300000X
$882K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,396 |
$85K |
| 2019 |
3,271 |
$149K |
| 2020 |
2,285 |
$93K |
| 2021 |
3,678 |
$146K |
| 2022 |
2,684 |
$123K |
| 2023 |
3,580 |
$158K |
| 2024 |
3,089 |
$126K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
4,030 |
4,023 |
$251K |
| D0210 |
|
3,037 |
3,035 |
$142K |
| D0120 |
|
1,485 |
1,477 |
$96K |
| D1110 |
|
884 |
884 |
$76K |
| D1120 |
|
1,231 |
1,230 |
$45K |
| D2392 |
|
574 |
340 |
$38K |
| D0230 |
|
2,170 |
2,093 |
$37K |
| D1206 |
|
2,270 |
2,269 |
$33K |
| D7210 |
|
262 |
106 |
$31K |
| D4341 |
|
353 |
129 |
$25K |
| D2391 |
|
419 |
265 |
$23K |
| D0274 |
|
851 |
842 |
$18K |
| D0330 |
|
678 |
675 |
$18K |
| D8670 |
|
39 |
39 |
$11K |
| D0350 |
|
1,095 |
518 |
$11K |
| D1351 |
|
335 |
75 |
$7K |
| D9910 |
|
94 |
93 |
$5K |
| D0272 |
|
421 |
420 |
$5K |
| D0140 |
|
99 |
98 |
$3K |
| D9430 |
|
65 |
63 |
$2K |
| D4910 |
|
25 |
25 |
$2K |
| D4342 |
|
38 |
12 |
$2K |
| D2393 |
|
19 |
12 |
$2K |
| D1208 |
|
82 |
82 |
$911.00 |
| D0220 |
|
12 |
12 |
$144.00 |
| D4921 |
|
49 |
13 |
$0.00 |
| D1330 |
|
366 |
366 |
$0.00 |