WESTERN DENTAL SERVICES, INC
NPI: 1952727281
· MONTEBELLO, CA 90640
· 122300000X
$801K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,165 |
$172K |
| 2019 |
4,021 |
$159K |
| 2020 |
2,070 |
$77K |
| 2021 |
2,628 |
$99K |
| 2022 |
2,166 |
$98K |
| 2023 |
2,114 |
$87K |
| 2024 |
3,188 |
$109K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
2,941 |
2,934 |
$173K |
| D0210 |
|
2,693 |
2,685 |
$117K |
| D0120 |
|
2,374 |
2,357 |
$113K |
| D1110 |
|
1,171 |
1,167 |
$86K |
| D4341 |
|
1,176 |
368 |
$62K |
| D0230 |
|
3,156 |
2,454 |
$49K |
| D1120 |
|
1,509 |
1,503 |
$47K |
| D0274 |
|
1,978 |
1,968 |
$37K |
| D1206 |
|
2,924 |
2,912 |
$37K |
| D7210 |
|
147 |
54 |
$17K |
| D4910 |
|
226 |
226 |
$17K |
| D2392 |
|
215 |
136 |
$14K |
| D9910 |
|
278 |
278 |
$12K |
| D8670 |
|
39 |
39 |
$9K |
| D2150 |
|
57 |
14 |
$4K |
| D1351 |
|
148 |
25 |
$3K |
| D2391 |
|
19 |
12 |
$1K |
| D1208 |
|
124 |
124 |
$839.00 |
| D0330 |
|
58 |
58 |
$600.00 |
| D0140 |
|
12 |
12 |
$420.00 |
| D0350 |
|
42 |
27 |
$403.20 |
| D0272 |
|
24 |
24 |
$240.00 |
| D4921 |
|
41 |
14 |
$0.00 |