WESTERN DENTAL SERVICES, INC.
NPI: 1659914398
· SANTA ANA, CA 92705
· 122300000X
$712K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$420.00 |
| 2020 |
2,390 |
$95K |
| 2021 |
3,594 |
$115K |
| 2022 |
3,896 |
$140K |
| 2023 |
4,492 |
$175K |
| 2024 |
4,252 |
$187K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
2,847 |
2,834 |
$188K |
| D0210 |
|
2,206 |
2,198 |
$106K |
| D0120 |
|
1,103 |
1,099 |
$78K |
| D1120 |
|
1,650 |
1,648 |
$70K |
| D2392 |
|
846 |
499 |
$57K |
| D0230 |
|
1,786 |
1,679 |
$36K |
| D1206 |
|
2,411 |
2,405 |
$34K |
| D4341 |
|
475 |
179 |
$33K |
| D1110 |
|
338 |
337 |
$30K |
| D0274 |
|
1,066 |
1,052 |
$22K |
| D4910 |
|
135 |
135 |
$10K |
| D2740 |
|
18 |
16 |
$9K |
| D2391 |
|
110 |
66 |
$6K |
| D7210 |
|
51 |
24 |
$6K |
| D0350 |
|
517 |
239 |
$5K |
| D8670 |
|
14 |
14 |
$4K |
| D0140 |
|
111 |
111 |
$4K |
| D0330 |
|
692 |
686 |
$3K |
| D7140 |
|
39 |
12 |
$2K |
| D2393 |
|
19 |
12 |
$2K |
| D0272 |
|
126 |
125 |
$2K |
| D9430 |
|
46 |
46 |
$1K |
| D1351 |
|
64 |
16 |
$1K |
| D9230 |
|
28 |
27 |
$1K |
| D1208 |
|
104 |
104 |
$1K |
| D9993 |
|
12 |
12 |
$780.00 |
| D1310 |
|
12 |
12 |
$552.00 |
| D0220 |
|
43 |
43 |
$516.00 |
| D1330 |
|
1,767 |
1,762 |
$0.00 |