WESTERN DENTAL SERVICES, INC.
NPI: 1720134158
· MODESTO, CA 95351
· 1223G0001X
$4.43M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
24,048 |
$939K |
| 2019 |
20,214 |
$876K |
| 2020 |
10,142 |
$349K |
| 2021 |
12,334 |
$458K |
| 2022 |
14,006 |
$584K |
| 2023 |
12,930 |
$572K |
| 2024 |
14,024 |
$649K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
|
6,000 |
2,494 |
$705K |
| D0120 |
|
11,488 |
11,461 |
$576K |
| D0150 |
|
7,188 |
7,173 |
$442K |
| D0210 |
|
6,900 |
6,876 |
$321K |
| D0230 |
|
14,031 |
12,990 |
$259K |
| D1120 |
|
7,139 |
7,119 |
$256K |
| D8670 |
|
934 |
934 |
$246K |
| D4341 |
|
3,483 |
1,215 |
$239K |
| D0274 |
|
10,225 |
10,113 |
$210K |
| D2391 |
|
3,407 |
2,257 |
$184K |
| D1110 |
|
1,624 |
1,620 |
$135K |
| D1351 |
|
5,705 |
1,401 |
$120K |
| D2392 |
|
1,638 |
1,265 |
$109K |
| D2150 |
|
1,571 |
1,149 |
$105K |
| D7140 |
|
1,808 |
578 |
$102K |
| D1206 |
|
6,646 |
6,623 |
$87K |
| D2140 |
|
1,136 |
791 |
$62K |
| D4910 |
|
735 |
735 |
$54K |
| D0330 |
|
2,177 |
2,174 |
$53K |
| D0350 |
|
3,428 |
2,119 |
$33K |
| D9430 |
|
1,012 |
1,012 |
$32K |
| D4342 |
|
723 |
292 |
$30K |
| D1208 |
|
2,992 |
2,985 |
$25K |
| D8080 |
|
12 |
12 |
$13K |
| D2330 |
|
96 |
61 |
$7K |
| D2930 |
|
40 |
25 |
$4K |
| D0272 |
|
388 |
380 |
$4K |
| D2332 |
|
40 |
27 |
$3K |
| D2393 |
|
31 |
25 |
$2K |
| D9230 |
|
70 |
68 |
$2K |
| D0270 |
|
390 |
390 |
$2K |
| D0140 |
|
55 |
55 |
$2K |
| D2160 |
|
14 |
14 |
$1K |
| D0340 |
|
12 |
12 |
$600.00 |
| D0220 |
|
15 |
15 |
$180.00 |
| D1330 |
|
4,545 |
4,526 |
$0.00 |