Dental
Western Dental of Az, INC.
Western Dental of Az, INC. was paid $35K by Medicaid between Mar 2021 and Oct 2024, across 14 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 46% of everything it billed.
33Billing provider infoWESTERN DENTAL OF AZ, INC.
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1326112012assigned 11/17/2006
33bProvider typeDentist
28Total paid$35K
24GClaims4,097
24DCodes billed14
24AFirst – last monthMar 2021 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,632 of 2,314
Median peer was paid$185K
This provider vs. median0.2×
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.
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 | |
|---|---|---|---|
| 2021 | 245 | $875.29 | |
| 2022 | 1,497 | $13K | |
| 2023 | 1,786 | $15K | |
| 2024incomplete | 569 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 46% | 668 | 241 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 758 | 707 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 596 | 552 | $5K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 4.8% | 47 | 15 | $2K |
| D0330 | Panoramic radiographic image | 4.8% | 472 | 389 | $2K |
| D1206 | Topical application of fluoride varnish | 2.8% | 234 | 227 | $968.26 |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 160 | 147 | $894.30 |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 458 | 375 | $755.85 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 435 | 198 | $534.48 |
| D0274 | Bitewings - four radiographic images | 1.5% | 190 | 155 | $532.33 |
| D2954 | 1.1% | 15 | 12 | $389.79 | |
| D1110 | Prophylaxis - adult | <1% | 17 | 16 | $150.03 |
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 officialLESSO, ROSA (NATIONAL DIRECTOR OF RCM)
| Provider | Location | Paid |
|---|---|---|
| Vital Smiles Alabama II PC | Orange, CA | $29.07M |
| Specialty Dental Partners of Philadelphia PLLC | Willow Grove, PA | $2.79M |
| Western Dental Services, INC. | Orange, CA | $2.23M |
| Soumava Sen, DDS, P.C. | Houston, TX | $380K |
| Brident Nevada Emily Lee DDS PC | Orange, CA | $6K |
| Brident DDS PC | Orange, CA | $0.02 |
| Soumava Sen, DDS, P.C. | Orange, CA | $0.00 |
| Brident Dental Associates PC | Orange, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.