WESTERN DENTAL SERVICES, INC.
NPI: 1740326560
· SANTA ROSA, CA 95405
· 1223G0001X
$1.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,244 |
$260K |
| 2019 |
6,826 |
$290K |
| 2020 |
3,385 |
$127K |
| 2021 |
4,702 |
$179K |
| 2022 |
4,174 |
$189K |
| 2023 |
3,860 |
$169K |
| 2024 |
77 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
4,330 |
4,320 |
$266K |
| D0120 |
|
3,493 |
3,475 |
$164K |
| D0210 |
|
3,066 |
3,058 |
$143K |
| D1110 |
|
1,596 |
1,585 |
$140K |
| D7210 |
|
818 |
330 |
$96K |
| D0230 |
|
4,909 |
4,523 |
$93K |
| D0274 |
|
3,425 |
3,404 |
$71K |
| D1120 |
|
2,058 |
2,048 |
$68K |
| D8670 |
|
148 |
146 |
$43K |
| D1208 |
|
3,200 |
3,192 |
$35K |
| D2392 |
|
524 |
373 |
$35K |
| D2391 |
|
280 |
171 |
$15K |
| D0350 |
|
1,035 |
554 |
$10K |
| D1206 |
|
491 |
481 |
$8K |
| D4341 |
|
102 |
44 |
$7K |
| D0330 |
|
253 |
252 |
$6K |
| D2393 |
|
68 |
55 |
$5K |
| D7140 |
|
76 |
12 |
$4K |
| D0272 |
|
184 |
183 |
$2K |
| D0140 |
|
65 |
64 |
$2K |
| D0270 |
|
12 |
12 |
$60.00 |
| D1330 |
|
135 |
128 |
$0.00 |