Dental
Western Dental Services, INC.
Western Dental Services, INC. was paid $836K by Medicaid between Jan 2018 and Apr 2023, across 27 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.
33Billing provider infoWESTERN DENTAL SERVICES, INC.
SAN JOSE, CA 95113
SAN JOSE, CA 95113
33aNPI1306900998assigned 12/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$836K
24GClaims19,890
24DCodes billed27
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#644 of 2,668
Median peer was paid$173K
This provider vs. median4.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KING, MARINA controls 18+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 7,344 | $310K | |
| 2019 | 2,899 | $133K | |
| 2020 | 2,382 | $88K | |
| 2021 | 3,614 | $148K | |
| 2022 | 2,845 | $120K | |
| 2023 | 806 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 3,128 | 3,121 | $188K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,335 | 2,330 | $109K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 1,932 | 1,924 | $89K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8.9% | 626 | 308 | $74K |
| D8670 | Periodic orthodontic treatment visit | 8.4% | 266 | 266 | $71K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.9% | 3,279 | 3,115 | $66K |
| D0274 | Bitewings - four radiographic images | 5.3% | 2,145 | 2,137 | $45K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.9% | 617 | 333 | $41K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.8% | 1,010 | 1,010 | $32K |
| D4341 | 3.7% | 506 | 215 | $31K | |
| D1110 | Prophylaxis - adult | 2.5% | 373 | 372 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 1,195 | 1,194 | $11K |
15 more codes
| D2140 | 1.2% | 186 | $10K | |
| D0330 | Panoramic radiographic image | <1% | 421 | $8K |
| D2160 | <1% | 96 | $8K | |
| D9910 | <1% | 152 | $7K | |
| D1206 | Topical application of fluoride varnish | <1% | 463 | $7K |
| D2330 | <1% | 70 | $5K | |
| D0350 | <1% | 523 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 81 | $3K |
| D9430 | <1% | 72 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 40 | $2K |
| D1351 | Sealant - per tooth | <1% | 71 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 36 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 38 | $404.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 29 | $265.00 |
| D1330 | 0% | 200 | $0.00 |
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 officialKING, MARINA (PPO COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Western Dental Services, INC. | Modesto, CA | $6.77M |
| Western Dental Services, INC. | Victorville, CA | $5.98M |
| Western Dental Services, INC. | Concord, CA | $4.69M |
| Western Dental Services, INC. | Hayward, CA | $4.29M |
| Western Dental Services, INC. | Tracy, CA | $4.27M |
| Western Dental Services, INC. | San Leandro, CA | $2.71M |
| Western Dental Services, INC. | El Cajon, CA | $2.49M |
| Western Dental Services, INC. | Oceanside, CA | $2.32M |
| Western Dental Services, INC. | Fairfield, CA | $2.16M |
| Western Dental Services, INC. | Chula Vista, CA | $2.10M |
| Western Dental Services, INC. | San Jose, CA | $2.08M |
| Western Dental Services, INC. | Claremont, CA | $1.99M |
| Western Dental Services, INC. | Redwood City, CA | $1.42M |
| Western Dental Services, INC. | Santa Rosa, CA | $1.22M |
| Western Dental Services, INC. | San Diego, CA | $1.19M |
| Western Dental Services, INC. | Escondido, CA | $1.09M |
| Western Dental Services, INC. | Poway, CA | $998K |
| Western Dental Services, INC. | San Diego, CA | $965K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.