WESTERN DENTAL OF ARIZONA, INC.

NPI: 1366588287 · CHANDLER, AZ 85225 · General Practice Dentistry · NPI assigned 01/29/2007

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official AVALOS, CINDY controls 20+ related entities in our dataset. Read more

$240.49

Total Medicaid Paid

108

Total Claims

Beneficiary Records

Codes Billed

2020-11

First Month

2024-05

Last Month

Provider Details

Authorized Official	AVALOS, CINDY (PPOCOORDINATOR)
NPI Enumeration Date	01/29/2007

Other providers sharing the same authorized official: AVALOS, CINDY

Provider	City	State	Total Paid
WESTERN DENTAL SERVICES, INC.	INDIO	CA	$5.63M
WESTERN DENTAL SERVICES, INC	APPLE VALLEY	CA	$3.83M
WESTERN DENTAL SERVICES, INC.	EL CENTRO	CA	$3.39M
WESTERN DENTAL SERVICES, INC.	EL CERRITO	CA	$2.34M
WESTERN DENTAL SERVICES, INC.	ANTIOCH	CA	$2.33M
WESTERN DENTAL SERVICES, INC.	BANNING	CA	$2.31M
WESTERN DENTAL SERVICES, INC.	MANTECA	CA	$2.21M
WESTERN DENTAL SERVICES, INC.	MANTECA	CA	$2.13M
WESTERN DENTAL SERVICES, INC.	MURRIETA	CA	$2.02M
WESTERN DENTAL SERVICES, INC.	SALINAS	CA	$1.96M
WESTERN DENTAL SERVICES, INC.	PALM SPRINGS	CA	$1.81M
WESTERN DENTAL SERVICES, INC.	VACAVILLE	CA	$1.80M
WESTERN DENTAL SERVICES, INC.	NATIONAL CITY	CA	$1.66M
WESTERN DENTAL SERVICES, INC.	WATSONVILLE	CA	$1.58M
WESTERN DENTAL SERVICES, INC.	SANTA ROSA	CA	$1.21M
WESTERN DENTAL SERVICES, INC.	VALLEJO	CA	$1.11M
WESTERN DENTAL SERVICES, INC.	SANTA CRUZ	CA	$1.07M
WESTERN DENTAL SERVICES, INC.	RIVERSIDE	CA	$425K
ADELANTE BEHAVIORAL HEALTH, LLC	FULLERTON	CA	$339K
WESTERN DENTAL SERVICES, INC.	SALINAS	CA	$243K

Code	Description	Claims	Bene. Records	Total Paid
D0140	Limited oral evaluation - problem focused	15	15	$150.00
D0330	Panoramic radiographic image	54	43	$90.49
D0210	Intraoral - complete series of radiographic images	12	12	$0.00
D0150	Comprehensive oral evaluation - new or established patient	13	12	$0.00
D0220	Intraoral - periapical first radiographic image	14	13	$0.00