WESTERN DENTAL SERVICES, INC.
NPI: 1457413973
· SAN BERNARDINO, CA 92410
· 1223G0001X
$2.63M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
15,134 |
$585K |
| 2019 |
13,838 |
$596K |
| 2020 |
6,330 |
$262K |
| 2021 |
8,765 |
$377K |
| 2022 |
6,754 |
$295K |
| 2023 |
5,610 |
$236K |
| 2024 |
5,911 |
$277K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
6,563 |
6,546 |
$405K |
| D7210 |
|
2,824 |
1,272 |
$333K |
| D0120 |
|
6,946 |
6,935 |
$329K |
| D0210 |
|
4,344 |
4,328 |
$203K |
| D0230 |
|
8,781 |
8,638 |
$176K |
| D1120 |
|
5,011 |
4,991 |
$172K |
| D8670 |
|
556 |
553 |
$149K |
| D4341 |
|
2,222 |
821 |
$147K |
| D0274 |
|
4,952 |
4,937 |
$104K |
| D1110 |
|
1,312 |
1,308 |
$94K |
| D2150 |
|
947 |
497 |
$63K |
| D2392 |
|
833 |
504 |
$56K |
| D2391 |
|
876 |
505 |
$48K |
| D1206 |
|
3,489 |
3,466 |
$40K |
| D2930 |
|
370 |
136 |
$40K |
| D3220 |
|
368 |
126 |
$36K |
| D1351 |
|
1,322 |
311 |
$29K |
| D1208 |
|
2,593 |
2,588 |
$28K |
| D0140 |
|
814 |
808 |
$27K |
| D0350 |
|
2,603 |
1,205 |
$24K |
| D0272 |
|
1,955 |
1,947 |
$22K |
| D9230 |
|
532 |
526 |
$20K |
| D7140 |
|
281 |
102 |
$16K |
| D9910 |
|
272 |
269 |
$16K |
| D4342 |
|
316 |
133 |
$13K |
| D2140 |
|
238 |
142 |
$13K |
| D0330 |
|
410 |
410 |
$7K |
| D2160 |
|
41 |
26 |
$3K |
| D4910 |
|
41 |
41 |
$3K |
| D9993 |
|
31 |
31 |
$2K |
| D1310 |
|
43 |
43 |
$2K |
| D2393 |
|
15 |
12 |
$1K |
| D0220 |
|
35 |
35 |
$420.00 |
| D0603 |
|
12 |
12 |
$165.00 |
| D0270 |
|
13 |
13 |
$60.00 |
| D1330 |
|
363 |
363 |
$0.00 |
| D4346 |
|
18 |
18 |
$0.00 |