THERON A. STOUT, DDS A PROFESSIONAL DENTAL CORPORATION
NPI: 1174951727
· ATASCADERO, CA 93422
· Pediatric Dentist
· NPI assigned 10/17/2013
Provider Details
| Authorized Official | STOUT, THERON (PRESIDENT/PEDIATRIC DENTIST) |
| NPI Enumeration Date | 10/17/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
641 |
$14K |
| 2019 |
400 |
$11K |
| 2020 |
199 |
$5K |
| 2021 |
182 |
$5K |
| 2022 |
150 |
$5K |
| 2023 |
271 |
$13K |
| 2024 |
222 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
765 |
764 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
586 |
585 |
$27K |
| D1206 |
Topical application of fluoride varnish |
714 |
713 |
$8K |