WEST DENTAL CORPORATION
NPI: 1124697990
· MODESTO, CA 95350
· Dental Clinic/Center
· NPI assigned 06/24/2021
$1.89M
Total Medicaid Paid
Provider Details
| Authorized Official | WEST, JEREMY (PRESIDENT) |
| NPI Enumeration Date | 06/24/2021 |
Related Entities
Other providers sharing the same authorized official: WEST, JEREMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,186 |
$248K |
| 2022 |
3,595 |
$784K |
| 2023 |
2,566 |
$650K |
| 2024 |
715 |
$211K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
4,515 |
4,490 |
$1.31M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
390 |
384 |
$406K |
| D0140 |
Limited oral evaluation - problem focused |
1,848 |
1,822 |
$65K |
| D8680 |
|
150 |
75 |
$51K |
| D0470 |
|
387 |
381 |
$29K |
| D0340 |
|
386 |
380 |
$19K |
| D0330 |
Panoramic radiographic image |
386 |
380 |
$12K |