All Medicaid billing entities listing STOUT, THERON (PRESIDENT/PEDIATRIC DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $63K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | THERON A. STOUT, DDS A PROFESSIONAL DENTAL CORPORATION | ATASCADERO, CA | Pediatric Dentist | $63K |