Dental
Daniel Teboul, DDS, INC.
Daniel Teboul, DDS, INC. was paid $581K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.
33Billing provider infoDANIEL TEBOUL, DDS, INC.
TORRANCE, CA 90505
TORRANCE, CA 90505
33aNPI1689068108assigned 03/23/2015
33bProvider typeDentist
28Total paid$581K
24GClaims18,871
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#729 of 2,314
Median peer was paid$185K
This provider vs. median3.1×
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 | 398 | $10K | |
| 2019 | 932 | $25K | |
| 2020 | 2,076 | $43K | |
| 2021 | 4,249 | $113K | |
| 2022 | 4,251 | $125K | |
| 2023 | 3,574 | $121K | |
| 2024incomplete | 3,391 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 1,489 | 1,486 | $96K |
| D1110 | Prophylaxis - adult | 15% | 1,011 | 1,007 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,041 | 1,033 | $73K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 1,328 | 1,324 | $62K |
| D9430 | 8.0% | 1,464 | 1,280 | $47K | |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 970 | 967 | $42K |
| D4910 | 7.0% | 544 | 544 | $41K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 5.4% | 66 | 46 | $31K |
| D1206 | Topical application of fluoride varnish | 5.4% | 1,918 | 1,906 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 3,685 | 1,871 | $15K |
| D0274 | Bitewings - four radiographic images | 2.3% | 730 | 723 | $13K |
| D1310 | 1.6% | 688 | 686 | $9K |
16 more codes
| D0350 | 1.2% | 910 | $7K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 18 | $5K |
| D9993 | <1% | 532 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 353 | $4K |
| D4341 | <1% | 44 | $3K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 36 | $2K |
| D9222 | <1% | 14 | $2K | |
| D2954 | <1% | 14 | $1K | |
| D0601 | <1% | 241 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 70 | $804.00 |
| D0330 | Panoramic radiographic image | <1% | 26 | $750.00 |
| D0272 | Bitewings - two radiographic images | <1% | 45 | $528.00 |
| D1999 | <1% | 450 | $460.00 | |
| D0603 | <1% | 44 | $255.00 | |
| D1330 | 0% | 688 | $0.00 | |
| D0190 | 0% | 452 | $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 officialTEBOUL, DANIEL (OWNER)