Dental
Western Dental Services, INC.
Western Dental Services, INC. was paid $2.49M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 16% of everything it billed.
33Billing provider infoWESTERN DENTAL SERVICES, INC.
RIVERSIDE, CA 92507
RIVERSIDE, CA 92507
33aNPI1548637077assigned 09/01/2015
33bProvider typeDentist
28Total paid$2.49M
24GClaims64,579
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#216 of 2,314
Median peer was paid$185K
This provider vs. median13×
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 | 11,995 | $448K | |
| 2019 | 10,253 | $408K | |
| 2020 | 5,719 | $221K | |
| 2021 | 9,145 | $320K | |
| 2022 | 10,506 | $398K | |
| 2023 | 9,856 | $390K | |
| 2024incomplete | 7,105 | $301K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 6,444 | 6,423 | $400K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 5,717 | 5,682 | $310K |
| D0210 | Intraoral - complete series of radiographic images | 8.7% | 4,632 | 4,616 | $216K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 5,554 | 5,533 | $205K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 8,493 | 8,113 | $177K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.9% | 2,203 | 1,329 | $148K |
| D1110 | Prophylaxis - adult | 5.7% | 1,799 | 1,791 | $143K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 2,021 | 1,240 | $134K |
| D8670 | Periodic orthodontic treatment visit | 5.1% | 453 | 451 | $127K |
| D0274 | Bitewings - four radiographic images | 4.5% | 5,428 | 5,376 | $113K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.2% | 684 | 282 | $79K |
| D1206 | Topical application of fluoride varnish | 2.8% | 4,738 | 4,705 | $69K |
20 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 1,215 | $65K |
| D2140 | 2.1% | 981 | $53K | |
| D9910 | 1.5% | 644 | $37K | |
| D0350 | 1.4% | 3,842 | $35K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,469 | $23K |
| D2160 | <1% | 280 | $22K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 656 | $22K |
| D4341 | <1% | 338 | $22K | |
| D1351 | Sealant - per tooth | <1% | 1,036 | $21K |
| D0272 | Bitewings - two radiographic images | <1% | 1,255 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 354 | $14K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 15 | $7K |
| D1310 | <1% | 152 | $7K | |
| D9993 | <1% | 100 | $6K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 68 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 77 | $4K |
| D4910 | <1% | 37 | $3K | |
| D0330 | Panoramic radiographic image | <1% | 141 | $2K |
| D9430 | <1% | 62 | $2K | |
| D1330 | 0% | 2,691 | $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 officialBLAZIO, DONNA (ENROLLMENT MANAGER)