WESTERN DENTAL SERVICES, INC.
NPI: 1457925422
· SAN PABLO, CA 94806
· 122300000X
$1.03M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
2,389 |
$107K |
| 2022 |
5,349 |
$239K |
| 2023 |
5,562 |
$249K |
| 2024 |
8,995 |
$435K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
4,484 |
4,482 |
$295K |
| D0210 |
|
3,413 |
3,412 |
$163K |
| D4341 |
|
2,060 |
929 |
$144K |
| D1110 |
|
913 |
912 |
$81K |
| D7210 |
|
542 |
261 |
$64K |
| D1120 |
|
1,284 |
1,284 |
$62K |
| D2392 |
|
675 |
542 |
$45K |
| D0120 |
|
595 |
595 |
$44K |
| D1206 |
|
2,175 |
2,174 |
$34K |
| D0230 |
|
1,585 |
1,028 |
$22K |
| D0274 |
|
774 |
771 |
$16K |
| D2391 |
|
273 |
194 |
$15K |
| D4910 |
|
174 |
174 |
$12K |
| D0330 |
|
561 |
561 |
$11K |
| D0140 |
|
241 |
241 |
$8K |
| D2150 |
|
79 |
40 |
$5K |
| D0350 |
|
248 |
135 |
$2K |
| D2393 |
|
21 |
13 |
$2K |
| D4342 |
|
38 |
24 |
$2K |
| D1310 |
|
26 |
26 |
$598.00 |
| D1208 |
|
22 |
22 |
$179.00 |
| D0272 |
|
12 |
12 |
$144.00 |
| D1330 |
|
2,100 |
2,099 |
$0.00 |