WESTERN DENTAL SERVICES, INC.
NPI: 1487128054
· STOCKTON, CA 95210
· 122300000X
$909K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
488 |
$26K |
| 2020 |
582 |
$31K |
| 2021 |
1,862 |
$85K |
| 2022 |
3,483 |
$168K |
| 2023 |
4,437 |
$205K |
| 2024 |
7,423 |
$394K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
2,924 |
2,911 |
$192K |
| D4341 |
|
1,693 |
508 |
$117K |
| D0210 |
|
2,108 |
2,102 |
$100K |
| D2392 |
|
1,358 |
867 |
$90K |
| D2391 |
|
1,124 |
715 |
$61K |
| D0120 |
|
838 |
834 |
$59K |
| D7210 |
|
445 |
216 |
$53K |
| D1120 |
|
928 |
918 |
$45K |
| D4910 |
|
583 |
575 |
$43K |
| D0230 |
|
1,735 |
1,711 |
$38K |
| D1206 |
|
1,895 |
1,879 |
$30K |
| D0274 |
|
963 |
958 |
$21K |
| D1110 |
|
229 |
229 |
$20K |
| D1351 |
|
379 |
91 |
$13K |
| D9430 |
|
320 |
314 |
$10K |
| D4342 |
|
183 |
65 |
$8K |
| D0330 |
|
123 |
122 |
$3K |
| D0220 |
|
241 |
240 |
$3K |
| D2393 |
|
25 |
24 |
$2K |
| D0350 |
|
136 |
83 |
$1K |
| D0272 |
|
31 |
31 |
$372.00 |
| D1208 |
|
14 |
14 |
$124.00 |