WESTERN DENTAL SERVICES, INC.
NPI: 1730328972
· MANTECA, CA 95336
· 122300000X
$2.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14,562 |
$468K |
| 2019 |
12,331 |
$448K |
| 2020 |
7,831 |
$250K |
| 2021 |
7,649 |
$263K |
| 2022 |
6,452 |
$251K |
| 2023 |
6,675 |
$230K |
| 2024 |
7,924 |
$304K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
8,182 |
8,152 |
$410K |
| D0150 |
|
5,076 |
5,065 |
$310K |
| D1120 |
|
6,556 |
6,534 |
$237K |
| D0230 |
|
10,973 |
9,604 |
$198K |
| D0210 |
|
3,718 |
3,713 |
$174K |
| D0274 |
|
6,084 |
6,045 |
$126K |
| D7210 |
|
1,003 |
610 |
$118K |
| D2150 |
|
1,711 |
1,157 |
$114K |
| D1208 |
|
7,240 |
7,218 |
$82K |
| D1110 |
|
773 |
772 |
$57K |
| D8670 |
|
194 |
192 |
$49K |
| D4341 |
|
659 |
253 |
$46K |
| D2140 |
|
695 |
488 |
$38K |
| D9230 |
|
804 |
751 |
$30K |
| D0350 |
|
3,058 |
1,836 |
$28K |
| D0272 |
|
2,270 |
2,263 |
$26K |
| D9993 |
|
350 |
350 |
$22K |
| D1310 |
|
478 |
478 |
$22K |
| D0140 |
|
565 |
564 |
$19K |
| D2391 |
|
347 |
216 |
$19K |
| D1351 |
|
658 |
145 |
$17K |
| D7140 |
|
246 |
116 |
$14K |
| D9910 |
|
215 |
214 |
$11K |
| D4910 |
|
118 |
117 |
$8K |
| D2930 |
|
62 |
44 |
$7K |
| D2160 |
|
90 |
67 |
$7K |
| D0330 |
|
490 |
490 |
$6K |
| D3220 |
|
39 |
27 |
$4K |
| D9223 |
|
21 |
13 |
$4K |
| D2392 |
|
56 |
49 |
$4K |
| D1206 |
|
106 |
106 |
$2K |
| D2330 |
|
23 |
13 |
$2K |
| D9222 |
|
13 |
13 |
$2K |
| D4342 |
|
26 |
12 |
$1K |
| D0601 |
|
71 |
71 |
$1K |
| D0603 |
|
29 |
29 |
$420.00 |
| D0220 |
|
29 |
29 |
$348.00 |
| D1999 |
|
396 |
396 |
$0.00 |