Setia, Theo

Setia, Theo was paid $49K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 27% of everything it billed.

33Billing provider infoSETIA, THEO
MONROVIA, CA 91016

33aNPI1821137969assigned 02/05/2007

33bProvider typeDentist

28Total paid$49K

24GClaims2,055

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,559 of 2,314

Median peer was paid$185K

This provider vs. median0.3×

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	524	$9K
2019	509	$12K
2020	143	$2K
2021	237	$5K
2022	356	$12K
2023	196	$6K
2024incomplete	90	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0230	Intraoral - periapical each additional radiographic image	27%	1,098	906	$13K
D1110	Prophylaxis - adult	24%	141	136	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	256	248	$11K
D0274	Bitewings - four radiographic images	19%	449	443	$9K
D1120	Dental cleaning, childProphylaxis - child	3.8%	63	63	$2K
D2150	Silver amalgam - two surfaces, primary or permanent	2.5%	18	13	$1K
D0150	Comprehensive oral evaluation - new or established patient	1.6%	12	12	$792.00
D1206	Topical application of fluoride varnish	<1%	18	18	$174.00

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.