WESTERN DENTAL SERVICES, INC.
NPI: 1417009598
· SANTA ROSA, CA 95405
· 1223G0001X
$1.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| 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 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
5,445 |
5,436 |
$336K |
| D0210 |
|
4,209 |
4,198 |
$196K |
| D1110 |
|
1,526 |
1,515 |
$136K |
| D0120 |
|
2,522 |
2,518 |
$121K |
| D0230 |
|
4,887 |
3,641 |
$76K |
| D2391 |
|
1,150 |
715 |
$63K |
| D0274 |
|
2,805 |
2,785 |
$58K |
| D7210 |
|
389 |
157 |
$45K |
| D1120 |
|
1,236 |
1,235 |
$43K |
| D1206 |
|
2,612 |
2,599 |
$40K |
| D2392 |
|
464 |
324 |
$31K |
| D0350 |
|
2,537 |
964 |
$22K |
| D0330 |
|
1,045 |
1,041 |
$21K |
| D4341 |
|
172 |
55 |
$12K |
| D1208 |
|
732 |
732 |
$7K |
| D0140 |
|
111 |
111 |
$3K |
| D2140 |
|
46 |
28 |
$3K |
| D1351 |
|
67 |
12 |
$1K |
| D0220 |
|
67 |
67 |
$762.00 |
| D1310 |
|
15 |
15 |
$690.00 |
| D0272 |
|
32 |
32 |
$320.00 |
| D1330 |
|
2,111 |
2,100 |
$0.00 |