Dental
Theodorou Professional Dental Corp.
Theodorou Professional Dental Corp. was paid $887K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 17% of everything it billed.
33Billing provider infoTHEODOROU PROFESSIONAL DENTAL CORP.
CANOGA PARK, CA 91306
CANOGA PARK, CA 91306
33aNPI1225152952assigned 03/19/2007
33bProvider typeDentist
28Total paid$887K
24GClaims27,636
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#546 of 2,314
Median peer was paid$185K
This provider vs. median4.8×
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 | 5,301 | $102K | |
| 2019 | 4,655 | $119K | |
| 2020 | 2,820 | $70K | |
| 2021 | 3,089 | $76K | |
| 2022 | 3,407 | $117K | |
| 2023 | 4,311 | $206K | |
| 2024incomplete | 4,053 | $196K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 17% | 324 | 221 | $153K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,821 | 2,811 | $151K |
| D1110 | Prophylaxis - adult | 15% | 1,635 | 1,624 | $136K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,548 | 1,546 | $95K |
| D0210 | Intraoral - complete series of radiographic images | 8.4% | 1,615 | 1,603 | $75K |
| D4910 | 5.6% | 651 | 648 | $50K | |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 1,160 | 1,153 | $42K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 7,389 | 2,246 | $31K |
| D4341 | 3.0% | 397 | 116 | $27K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 2,192 | 2,176 | $25K |
| D9430 | 2.7% | 779 | 764 | $24K | |
| D0350 | 2.5% | 2,418 | 939 | $22K |
9 more codes
| D0272 | Bitewings - two radiographic images | 1.9% | 1,469 | $17K |
| D2952 | 1.3% | 107 | $11K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 938 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 161 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 47 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 39 | $3K |
| D4342 | <1% | 38 | $2K | |
| D0270 | <1% | 206 | $1K | |
| D1330 | 0% | 1,702 | $0.00 |
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 officialTHEODOROU, NIKOLAOS (DENTIST PRESIDENT OF CORPORATION)