WESTERN DENTAL SERVICES, INC.
NPI: 1306310933
· MODESTO, CA 95355
· 122300000X
$1.14M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
553 |
$31K |
| 2020 |
2,499 |
$120K |
| 2021 |
4,660 |
$202K |
| 2022 |
4,337 |
$201K |
| 2023 |
4,816 |
$224K |
| 2024 |
6,968 |
$363K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
4,594 |
4,591 |
$302K |
| D7210 |
|
1,756 |
800 |
$208K |
| D0210 |
|
4,084 |
4,081 |
$195K |
| D2392 |
|
1,199 |
850 |
$80K |
| D0120 |
|
827 |
827 |
$55K |
| D1110 |
|
496 |
496 |
$44K |
| D0230 |
|
2,649 |
2,105 |
$43K |
| D2391 |
|
698 |
457 |
$38K |
| D4341 |
|
453 |
182 |
$31K |
| D0274 |
|
1,501 |
1,496 |
$31K |
| D1120 |
|
726 |
726 |
$29K |
| D0330 |
|
1,830 |
1,829 |
$24K |
| D1208 |
|
1,438 |
1,438 |
$18K |
| D0350 |
|
827 |
505 |
$8K |
| D2393 |
|
98 |
80 |
$8K |
| D2150 |
|
94 |
70 |
$6K |
| D7140 |
|
99 |
29 |
$6K |
| D4910 |
|
41 |
41 |
$3K |
| D4342 |
|
57 |
25 |
$2K |
| D2160 |
|
22 |
17 |
$2K |
| D0140 |
|
49 |
49 |
$2K |
| D2331 |
|
20 |
13 |
$2K |
| D1206 |
|
93 |
93 |
$2K |
| D1351 |
|
36 |
12 |
$1K |
| D2140 |
|
16 |
14 |
$873.60 |
| D0270 |
|
79 |
79 |
$385.00 |
| D1999 |
|
51 |
49 |
$0.00 |