Dental
Western Dental Services, INC.
Western Dental Services, INC. was paid $918K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.
33Billing provider infoWESTERN DENTAL SERVICES, INC.
COSTA MESA, CA 92627
COSTA MESA, CA 92627
33aNPI1437213931assigned 12/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$918K
24GClaims26,283
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#612 of 2,668
Median peer was paid$173K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2018 | 5,421 | $144K | |
| 2019 | 4,243 | $152K | |
| 2020 | 3,018 | $93K | |
| 2021 | 3,737 | $122K | |
| 2022 | 3,396 | $137K | |
| 2023 | 3,580 | $144K | |
| 2024incomplete | 2,888 | $127K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 2,964 | 2,953 | $183K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 3,171 | 3,156 | $165K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 2,550 | 2,536 | $120K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 2,566 | 2,552 | $93K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.3% | 4,090 | 3,858 | $85K |
| D0274 | Bitewings - four radiographic images | 6.0% | 2,674 | 2,655 | $55K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.0% | 313 | 134 | $37K |
| D1351 | Sealant - per tooth | 3.1% | 1,399 | 388 | $29K |
| D4341 | 3.0% | 396 | 142 | $28K | |
| D1206 | Topical application of fluoride varnish | 2.7% | 1,678 | 1,662 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 373 | 216 | $25K |
| D1110 | Prophylaxis - adult | 2.3% | 278 | 278 | $21K |
13 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 1,718 | $17K |
| D9910 | <1% | 160 | $9K | |
| D4910 | <1% | 92 | $7K | |
| D8670 | Periodic orthodontic treatment visit | <1% | 14 | $4K |
| D0350 | <1% | 399 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 65 | $4K |
| D0330 | Panoramic radiographic image | <1% | 255 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 197 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 34 | $1K |
| D9430 | <1% | 44 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | $875.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 27 | $270.00 |
| D1330 | 0% | 801 | $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 officialDEMBERECKY, WILLIAM (EVP & CHIEF STRATEGY AND GROWTH)
| Provider | Location | Paid |
|---|---|---|
| Western Dental Services, INC. | Woodland, CA | $246K |
| Western Dental Services, INC. | Arroyo Grande, CA | $194K |
| Emily Lee DDS PC | Sparks, NV | $174K |
| Western Dental Services, INC. | Reseda, CA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.