WESTERN DENTAL SERVICES, INC.
NPI: 1821230582
· RANCHO CORDOVA, CA 95670
· 122300000X
$292K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,198 |
$11K |
| 2019 |
1,493 |
$14K |
| 2020 |
1,688 |
$21K |
| 2021 |
3,570 |
$44K |
| 2022 |
2,340 |
$36K |
| 2023 |
1,965 |
$37K |
| 2024 |
6,215 |
$129K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
3,513 |
3,484 |
$116K |
| D0210 |
|
2,665 |
2,640 |
$44K |
| D0120 |
|
1,038 |
1,034 |
$30K |
| D4341 |
|
1,152 |
496 |
$20K |
| D7210 |
|
289 |
160 |
$13K |
| D1206 |
|
1,118 |
1,117 |
$13K |
| D0230 |
|
4,171 |
1,727 |
$13K |
| D7140 |
|
356 |
109 |
$12K |
| D1110 |
|
107 |
107 |
$8K |
| D0274 |
|
740 |
733 |
$5K |
| D0330 |
|
713 |
706 |
$4K |
| D2391 |
|
101 |
72 |
$3K |
| D9430 |
|
191 |
167 |
$2K |
| D9999 |
|
326 |
313 |
$2K |
| D2392 |
|
77 |
68 |
$2K |
| D1120 |
|
407 |
407 |
$2K |
| D4910 |
|
36 |
36 |
$1K |
| D2150 |
|
17 |
13 |
$326.40 |
| D1208 |
|
66 |
66 |
$234.00 |
| D0220 |
|
191 |
186 |
$58.00 |
| D4346 |
|
373 |
373 |
$0.00 |
| D1351 |
|
202 |
48 |
$0.00 |
| D1330 |
|
15 |
15 |
$0.00 |
| D8670 |
|
40 |
40 |
$0.00 |
| D4921 |
|
565 |
228 |
$0.00 |