Dental
Theron A. Stout, DDS a Professional Dental Corporation
Theron A. Stout, DDS a Professional Dental Corporation was paid $63K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 44% of everything it billed.
33Billing provider infoTHERON A. STOUT, DDS A PROFESSIONAL DENTAL CORPORATION
ATASCADERO, CA 93422
ATASCADERO, CA 93422
33aNPI1174951727assigned 10/17/2013
33bProvider typePediatric Dentist
28Total paid$63K
24GClaims2,065
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#246 of 332
Median peer was paid$450K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 641 | $14K | |
| 2019 | 400 | $11K | |
| 2020 | 199 | $5K | |
| 2021 | 182 | $5K | |
| 2022 | 150 | $5K | |
| 2023 | 271 | $13K | |
| 2024incomplete | 222 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 44% | 765 | 764 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 586 | 585 | $27K |
| D1206 | Topical application of fluoride varnish | 13% | 714 | 713 | $8K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSTOUT, THERON (PRESIDENT/PEDIATRIC DENTIST)