WESTERN DENTAL SERVICES, INC.
NPI: 1205320223
· MODESTO, CA 95350
· 122300000X
$1.36M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,235 |
$116K |
| 2019 |
5,285 |
$231K |
| 2020 |
4,429 |
$167K |
| 2021 |
4,942 |
$174K |
| 2022 |
4,947 |
$188K |
| 2023 |
4,551 |
$173K |
| 2024 |
7,265 |
$307K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
4,064 |
4,058 |
$267K |
| D0210 |
|
3,107 |
3,104 |
$148K |
| D0120 |
|
1,913 |
1,911 |
$121K |
| D7210 |
|
867 |
466 |
$103K |
| D2392 |
|
1,463 |
1,027 |
$98K |
| D0230 |
|
5,111 |
4,328 |
$79K |
| D0274 |
|
3,514 |
3,504 |
$75K |
| D2391 |
|
1,305 |
860 |
$71K |
| D4341 |
|
925 |
381 |
$65K |
| D1120 |
|
1,672 |
1,672 |
$64K |
| D1110 |
|
680 |
677 |
$60K |
| D4910 |
|
645 |
641 |
$48K |
| D4342 |
|
946 |
372 |
$40K |
| D1206 |
|
2,675 |
2,672 |
$37K |
| D0350 |
|
3,141 |
1,729 |
$30K |
| D2150 |
|
329 |
187 |
$22K |
| D2140 |
|
165 |
90 |
$9K |
| D0330 |
|
247 |
247 |
$7K |
| D2393 |
|
52 |
41 |
$4K |
| D1208 |
|
315 |
315 |
$3K |
| D2160 |
|
34 |
24 |
$3K |
| D0140 |
|
29 |
29 |
$995.00 |
| D0270 |
|
54 |
53 |
$270.00 |
| D4921 |
|
274 |
69 |
$0.00 |
| D1999 |
|
127 |
123 |
$0.00 |