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Billing entities under STOUT, THERON
Every Medicaid billing NPI that lists STOUT, THERON (president/pediatric dentist) as its authorized official in NPPES: 1 entity in 1 state, paid $63K combined.
28Combined paid$63K
33Billing entities1
24GClaims2,065
States1
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | Theron A. Stout, DDS a Professional Dental Corporation | Atascadero, CA | Pediatric Dentist | $63K |