NPI: 1417009598 · SANTA ROSA, CA 95405 · General Practice Dentistry · NPI assigned 01/17/2007
Authorized official KING, MARINA controls 18+ related entities in our dataset. Read more
| Authorized Official | KING, MARINA (PPO COORDINATOR) |
| NPI Enumeration Date | 01/17/2007 |
Other providers sharing the same authorized official: KING, MARINA
| Provider | City | State | Total 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. | 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 |
| WESTERN DENTAL SERVICES, INC. | SAN JOSE | CA | $836K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,941 | $132K |
| 2019 | 3,899 | $159K |
| 2020 | 4,190 | $158K |
| 2021 | 7,885 | $262K |
| 2022 | 5,162 | $191K |
| 2023 | 3,576 | $126K |
| 2024 | 4,527 | $188K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 5,445 | 5,436 | $336K |
| D0210 | Intraoral - complete series of radiographic images | 4,209 | 4,198 | $196K |
| D1110 | Prophylaxis - adult | 1,526 | 1,515 | $136K |
| D0120 | Periodic oral evaluation - established patient | 2,522 | 2,518 | $121K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,887 | 3,641 | $76K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,150 | 715 | $63K |
| D0274 | Bitewings - four radiographic images | 2,805 | 2,785 | $58K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 389 | 157 | $45K |
| D1120 | Prophylaxis - child | 1,236 | 1,235 | $43K |
| D1206 | Topical application of fluoride varnish | 2,612 | 2,599 | $40K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 464 | 324 | $31K |
| D0350 | 2,537 | 964 | $22K | |
| D0330 | Panoramic radiographic image | 1,045 | 1,041 | $21K |
| D4341 | 172 | 55 | $12K | |
| D1208 | Topical application of fluoride, excluding varnish | 732 | 732 | $7K |
| D0140 | Limited oral evaluation - problem focused | 111 | 111 | $3K |
| D2140 | 46 | 28 | $3K | |
| D1351 | Sealant - per tooth | 67 | 12 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 67 | 67 | $762.00 |
| D1310 | 15 | 15 | $690.00 | |
| D0272 | Bitewings - two radiographic images | 32 | 32 | $320.00 |
| D1330 | 2,111 | 2,100 | $0.00 |