WESTERN DENTAL SERVICES, INC.
NPI: 1841970605
· RESEDA, CA 91335
· Dentist
· NPI assigned 07/18/2023
Provider Details
| Authorized Official | DEMBERECKY, WILLIAM (EVP & CHIEF STRATEGY AND GROWTH) |
| NPI Enumeration Date | 07/18/2023 |
Related Entities
Other providers sharing the same authorized official: DEMBERECKY, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
998 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
343 |
343 |
$23K |
| D0210 |
Intraoral - complete series of radiographic images |
281 |
281 |
$13K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
156 |
72 |
$10K |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$2K |
| D1206 |
Topical application of fluoride varnish |
85 |
85 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
26 |
12 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
18 |
$352.35 |
| D1330 |
|
62 |
62 |
$0.00 |