Dental
Western Dental Services, INC.
Western Dental Services, INC. was paid $1.99M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoWESTERN DENTAL SERVICES, INC.
CLAREMONT, CA 91711
CLAREMONT, CA 91711
33aNPI1619031119assigned 12/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1.99M
24GClaims57,937
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#303 of 2,668
Median peer was paid$173K
This provider vs. median12×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KING, MARINA controls 18+ related entities in our dataset. Read more
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 | 10,149 | $227K | |
| 2019 | 10,612 | $332K | |
| 2020 | 5,918 | $208K | |
| 2021 | 9,515 | $353K | |
| 2022 | 8,522 | $347K | |
| 2023 | 6,077 | $253K | |
| 2024incomplete | 7,144 | $270K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 8,060 | 8,015 | $357K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 5,183 | 5,169 | $315K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 4,692 | 4,680 | $208K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.2% | 5,754 | 5,722 | $182K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.9% | 9,948 | 8,589 | $157K |
| D4341 | 7.2% | 2,227 | 875 | $143K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.5% | 918 | 500 | $109K |
| D0274 | Bitewings - four radiographic images | 4.9% | 5,638 | 5,602 | $98K |
| D1110 | Prophylaxis - adult | 4.9% | 1,198 | 1,193 | $97K |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 6,249 | 6,215 | $63K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.6% | 779 | 437 | $52K |
| D1351 | Sealant - per tooth | 2.2% | 2,081 | 458 | $44K |
22 more codes
| D4910 | 2.1% | 600 | $41K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,194 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 256 | $17K |
| D0272 | Bitewings - two radiographic images | <1% | 1,385 | $15K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 56 | $13K |
| D9910 | <1% | 142 | $8K | |
| D1310 | <1% | 164 | $7K | |
| D9993 | <1% | 104 | $7K | |
| D9222 | <1% | 50 | $6K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 155 | $6K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 57 | $5K |
| D2160 | <1% | 65 | $5K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 95 | $5K |
| D0350 | <1% | 394 | $4K | |
| D2140 | <1% | 48 | $3K | |
| D4342 | <1% | 61 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 28 | $2K |
| D0330 | Panoramic radiographic image | <1% | 81 | $955.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 58 | $686.00 |
| D9430 | <1% | 13 | $416.00 | |
| D1330 | 0% | 189 | $0.00 | |
| D8670 | Periodic orthodontic treatment visit | 0% | 15 | $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 officialKING, MARINA (PPO COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Western Dental Services, INC. | Modesto, CA | $6.77M |
| Western Dental Services, INC. | Victorville, CA | $5.98M |
| Western Dental Services, INC. | Concord, CA | $4.69M |
| Western Dental Services, INC. | Hayward, CA | $4.29M |
| Western Dental Services, INC. | Tracy, CA | $4.27M |
| Western Dental Services, INC. | San Leandro, CA | $2.71M |
| Western Dental Services, INC. | El Cajon, CA | $2.49M |
| Western Dental Services, INC. | Oceanside, CA | $2.32M |
| Western Dental Services, INC. | Fairfield, CA | $2.16M |
| Western Dental Services, INC. | Chula Vista, CA | $2.10M |
| Western Dental Services, INC. | San Jose, CA | $2.08M |
| Western Dental Services, INC. | Redwood City, CA | $1.42M |
| Western Dental Services, INC. | Santa Rosa, CA | $1.22M |
| Western Dental Services, INC. | San Diego, CA | $1.19M |
| Western Dental Services, INC. | Escondido, CA | $1.09M |
| Western Dental Services, INC. | Poway, CA | $998K |
| Western Dental Services, INC. | San Diego, CA | $965K |
| Western Dental Services, INC. | San Jose, CA | $836K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.