Dental
Western Dental Services, INC.
Western Dental Services, INC. was paid $194K by Medicaid between May 2023 and Dec 2024, across 12 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 31% of everything it billed.
33Billing provider infoWESTERN DENTAL SERVICES, INC.
ARROYO GRANDE, CA 93420
ARROYO GRANDE, CA 93420
33aNPI1093419681assigned 03/28/2023
33bProvider typeDentist
28Total paid$194K
24GClaims3,364
24DCodes billed12
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,141 of 2,314
Median peer was paid$185K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 1,665 | $92K | |
| 2024incomplete | 1,699 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 31% | 903 | 903 | $60K |
| D0210 | Intraoral - complete series of radiographic images | 19% | 759 | 758 | $36K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14% | 224 | 89 | $27K |
| D4341 | 9.9% | 274 | 76 | $19K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.8% | 276 | 154 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 197 | 121 | $13K |
| D1110 | Prophylaxis - adult | 6.5% | 148 | 148 | $13K |
| D1206 | Topical application of fluoride varnish | 2.7% | 322 | 318 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 131 | 125 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.1% | 44 | 43 | $2K |
| D0350 | <1% | 69 | 33 | $652.80 | |
| D0274 | Bitewings - four radiographic images | <1% | 17 | 17 | $345.60 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDEMBERECKY, WILLIAM (EVP & CHIEF STRATEGY AND GROWTH)
| Provider | Location | Paid |
|---|---|---|
| Western Dental Services, INC. | Costa Mesa, CA | $918K |
| Western Dental Services, INC. | Woodland, CA | $246K |
| Emily Lee DDS PC | Sparks, NV | $174K |
| Western Dental Services, INC. | Reseda, CA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.