WESTERN DENTAL SERVICES, INC.
NPI: 1306900998
· SAN JOSE, CA 95113
· 1223G0001X
$836K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
7,344 |
$310K |
| 2019 |
2,899 |
$133K |
| 2020 |
2,382 |
$88K |
| 2021 |
3,614 |
$148K |
| 2022 |
2,845 |
$120K |
| 2023 |
806 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
3,128 |
3,121 |
$188K |
| D0120 |
|
2,335 |
2,330 |
$109K |
| D0210 |
|
1,932 |
1,924 |
$89K |
| D7210 |
|
626 |
308 |
$74K |
| D8670 |
|
266 |
266 |
$71K |
| D0230 |
|
3,279 |
3,115 |
$66K |
| D0274 |
|
2,145 |
2,137 |
$45K |
| D2150 |
|
617 |
333 |
$41K |
| D1120 |
|
1,010 |
1,010 |
$32K |
| D4341 |
|
506 |
215 |
$31K |
| D1110 |
|
373 |
372 |
$21K |
| D1208 |
|
1,195 |
1,194 |
$11K |
| D2140 |
|
186 |
107 |
$10K |
| D0330 |
|
421 |
420 |
$8K |
| D2160 |
|
96 |
57 |
$8K |
| D9910 |
|
152 |
148 |
$7K |
| D1206 |
|
463 |
462 |
$7K |
| D2330 |
|
70 |
37 |
$5K |
| D0350 |
|
523 |
321 |
$4K |
| D0140 |
|
81 |
81 |
$3K |
| D9430 |
|
72 |
72 |
$2K |
| D7140 |
|
40 |
14 |
$2K |
| D1351 |
|
71 |
15 |
$2K |
| D2391 |
|
36 |
14 |
$1K |
| D0272 |
|
38 |
38 |
$404.00 |
| D0220 |
|
29 |
29 |
$265.00 |
| D1330 |
|
200 |
200 |
$0.00 |