WESTCHESTER DENTAL CARE
NPI: 1558580233
· INGLEWOOD, CA 90301
· Dentist
· NPI assigned 04/24/2007
$109K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,481 |
$17K |
| 2019 |
1,525 |
$14K |
| 2020 |
376 |
$4K |
| 2021 |
722 |
$8K |
| 2022 |
764 |
$12K |
| 2023 |
813 |
$15K |
| 2024 |
1,235 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
537 |
535 |
$34K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,833 |
1,415 |
$24K |
| D1110 |
Prophylaxis - adult |
206 |
204 |
$17K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
23 |
15 |
$11K |
| D0272 |
Bitewings - two radiographic images |
929 |
914 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
263 |
255 |
$9K |
| D4341 |
|
41 |
12 |
$3K |
| D1120 |
Prophylaxis - child |
84 |
83 |
$2K |