Harry J. Koutroulakis D.M.D. Family Dentistry, P.A.

Harry J. Koutroulakis D.M.D. Family Dentistry, P.A. was paid $6K by Medicaid between Feb 2018 and Oct 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 51% of everything it billed.

33Billing provider infoHARRY J. KOUTROULAKIS D.M.D. FAMILY DENTISTRY, P.A.
LUGOFF, SC 29078

33aNPI1396723326assigned 01/09/2006

33bProvider typeDentist

28Total paid$6K

24GClaims270

24DCodes billed3

24AFirst – last monthFeb 2018 – Oct 2019

Compared with peers

Next to other Dentist providers in South Carolina

Rank by total paid#131 of 166

Median peer was paid$67K

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	148	$3K
2019	122	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	51%	124	124	$3K
D1206	Topical application of fluoride varnish	39%	134	134	$2K
D1110	Prophylaxis - adult	11%	12	12	$604.80

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 officialKOUTROULAKIS, HARRY (PRESIDENT)