Dental
Western Dental Services, INC.
Western Dental Services, INC. was paid $1.22M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 28% of everything it billed.
33Billing provider infoWESTERN DENTAL SERVICES, INC.
SANTA ROSA, CA 95405
SANTA ROSA, CA 95405
33aNPI1417009598assigned 01/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.22M
24GClaims34,180
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#485 of 2,668
Median peer was paid$173K
This provider vs. median7.0×
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 | 4,941 | $132K | |
| 2019 | 3,899 | $159K | |
| 2020 | 4,190 | $158K | |
| 2021 | 7,885 | $262K | |
| 2022 | 5,162 | $191K | |
| 2023 | 3,576 | $126K | |
| 2024incomplete | 4,527 | $188K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 5,445 | 5,436 | $336K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 4,209 | 4,198 | $196K |
| D1110 | Prophylaxis - adult | 11% | 1,526 | 1,515 | $136K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 2,522 | 2,518 | $121K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.3% | 4,887 | 3,641 | $76K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 1,150 | 715 | $63K |
| D0274 | Bitewings - four radiographic images | 4.7% | 2,805 | 2,785 | $58K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.7% | 389 | 157 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 1,236 | 1,235 | $43K |
| D1206 | Topical application of fluoride varnish | 3.3% | 2,612 | 2,599 | $40K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 464 | 324 | $31K |
| D0350 | 1.8% | 2,537 | 964 | $22K |
10 more codes
| D0330 | Panoramic radiographic image | 1.7% | 1,045 | $21K |
| D4341 | <1% | 172 | $12K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 732 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 111 | $3K |
| D2140 | <1% | 46 | $3K | |
| D1351 | Sealant - per tooth | <1% | 67 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 67 | $762.00 |
| D1310 | <1% | 15 | $690.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 32 | $320.00 |
| D1330 | 0% | 2,111 | $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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.