Susu, Theodore

Susu, Theodore was paid $27K by Medicaid between Jan 2018 and Mar 2021, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoSUSU, THEODORE
POUGHKEEPSIE, NY 12603

33aNPI1316082464assigned 02/20/2007

33bProvider typeDentist

28Total paid$27K

24GClaims949

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#975 of 1,649

Median peer was paid$49K

This provider vs. median0.6×

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	395	$12K
2019	450	$13K
2020	91	$2K
2021	13	$172.90

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	47%	236	235	$13K
D0274	Bitewings - four radiographic images	31%	306	305	$8K
D0220	Intraoral - periapical first radiographic image	17%	355	354	$5K
D0150	Comprehensive oral evaluation - new or established patient	3.9%	39	39	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.3%	13	13	$358.15

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.