WESTERN DENTAL SERVICES, INC.
NPI: 1740479534
· RANCHO CUCAMONGA, CA 91701
· 122300000X
$2.12M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
9,724 |
$323K |
| 2019 |
8,311 |
$334K |
| 2020 |
5,091 |
$197K |
| 2021 |
7,121 |
$275K |
| 2022 |
7,378 |
$321K |
| 2023 |
6,776 |
$307K |
| 2024 |
7,262 |
$360K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
5,303 |
5,291 |
$328K |
| D0120 |
|
5,875 |
5,862 |
$301K |
| D0210 |
|
4,545 |
4,532 |
$212K |
| D7210 |
|
1,539 |
810 |
$181K |
| D1120 |
|
4,749 |
4,741 |
$177K |
| D1110 |
|
1,636 |
1,630 |
$138K |
| D0230 |
|
7,302 |
7,178 |
$134K |
| D4341 |
|
1,910 |
721 |
$130K |
| D2392 |
|
1,420 |
929 |
$95K |
| D0274 |
|
4,031 |
4,022 |
$84K |
| D1206 |
|
4,563 |
4,545 |
$63K |
| D4910 |
|
690 |
684 |
$52K |
| D8670 |
|
151 |
150 |
$41K |
| D0272 |
|
1,829 |
1,823 |
$21K |
| D1208 |
|
1,995 |
1,994 |
$21K |
| D2740 |
|
39 |
28 |
$19K |
| D2391 |
|
334 |
208 |
$18K |
| D9910 |
|
310 |
310 |
$18K |
| D4342 |
|
423 |
184 |
$17K |
| D1351 |
|
660 |
134 |
$17K |
| D0140 |
|
434 |
430 |
$14K |
| D9230 |
|
179 |
176 |
$7K |
| D0350 |
|
659 |
310 |
$6K |
| D2393 |
|
73 |
64 |
$6K |
| D2150 |
|
39 |
13 |
$3K |
| D0220 |
|
206 |
206 |
$2K |
| D2930 |
|
19 |
12 |
$2K |
| D9430 |
|
68 |
64 |
$2K |
| D7140 |
|
32 |
13 |
$2K |
| D0330 |
|
120 |
118 |
$2K |
| D1310 |
|
53 |
53 |
$2K |
| D9993 |
|
40 |
40 |
$1K |
| D1999 |
|
18 |
18 |
$46.00 |
| D1330 |
|
419 |
419 |
$0.00 |