WESTERN DENTAL SERVICES, INC.
NPI: 1992279525
· SACRAMENTO, CA 95820
· 122300000X
$206K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
7,898 |
$3K |
| 2021 |
22,797 |
$34K |
| 2022 |
16,493 |
$29K |
| 2023 |
14,876 |
$140K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
3,102 |
3,027 |
$40K |
| D7210 |
|
5,628 |
2,704 |
$29K |
| D0120 |
|
3,373 |
3,304 |
$26K |
| D0210 |
|
2,538 |
2,473 |
$17K |
| D2392 |
|
1,439 |
1,202 |
$12K |
| D0330 |
|
7,557 |
7,193 |
$11K |
| D1110 |
|
1,452 |
1,421 |
$10K |
| D0230 |
|
16,066 |
4,229 |
$10K |
| D1120 |
|
1,578 |
1,554 |
$8K |
| D2391 |
|
1,010 |
870 |
$8K |
| D0350 |
|
2,154 |
661 |
$8K |
| D4341 |
|
624 |
344 |
$7K |
| D7140 |
|
1,288 |
516 |
$7K |
| D1206 |
|
378 |
378 |
$5K |
| D0274 |
|
2,792 |
2,730 |
$5K |
| D1208 |
|
2,891 |
2,837 |
$1K |
| D1310 |
|
439 |
386 |
$889.00 |
| D7230 |
|
412 |
309 |
$756.00 |
| D0220 |
|
1,567 |
1,287 |
$506.00 |
| D0270 |
|
618 |
582 |
$195.00 |
| D0145 |
|
31 |
31 |
$59.00 |
| D0272 |
|
64 |
62 |
$34.00 |
| D9230 |
|
110 |
98 |
$0.00 |
| D4921 |
|
663 |
405 |
$0.00 |
| D7922 |
|
605 |
517 |
$0.00 |
| D9993 |
|
24 |
24 |
$0.00 |
| D1330 |
|
1,065 |
1,018 |
$0.00 |
| D0601 |
|
104 |
78 |
$0.00 |
| D7250 |
|
1,571 |
758 |
$0.00 |
| D0140 |
|
419 |
405 |
$0.00 |
| D1351 |
|
489 |
188 |
$0.00 |
| D0603 |
|
13 |
13 |
$0.00 |