Gross, Theodore

Gross, Theodore was paid $72K by Medicaid between Jan 2018 and Mar 2020, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.

33Billing provider infoGROSS, THEODORE
POUGHKEEPSIE, NY 12603

33aNPI1770639213assigned 01/26/2007

33bProvider typeDentist

28Total paid$72K

24GClaims2,629

24DCodes billed12

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#721 of 1,649

Median peer was paid$49K

This provider vs. median1.5×

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	1,429	$40K
2019	1,073	$29K
2020	127	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	43%	727	727	$31K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	736	735	$17K
D0274	Bitewings - four radiographic images	12%	378	378	$9K
D0210	Intraoral - complete series of radiographic images	7.1%	110	110	$5K
D0220	Intraoral - periapical first radiographic image	3.0%	189	185	$2K
D0140	Limited oral evaluation - problem focused	2.7%	158	156	$2K
D1120	Dental cleaning, childProphylaxis - child	2.0%	44	44	$1K
D0230	Intraoral - periapical each additional radiographic image	1.9%	121	120	$1K
D0150	Comprehensive oral evaluation - new or established patient	1.9%	53	53	$1K
D1208	Topical application of fluoride, excluding varnish	1.4%	81	81	$978.95
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.2%	19	13	$841.25
D0330	Panoramic radiographic image	<1%	13	13	$404.25

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.