Theodorson, Amanda

Theodorson, Amanda was paid $831.44 by Medicaid between Oct 2020 and Jan 2021, across 3 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 50% of everything it billed.

33Billing provider infoTHEODORSON, AMANDA
WASHINGTON, DC 20009

33aNPI1962737239assigned 10/05/2009

33bProvider typeDentist

28Total paid$831.44

24GClaims119

24DCodes billed3

24AFirst – last monthOct 2020 – Jan 2021

Compared with peers

Next to other Dentist providers in District of Columbia

Rank by total paid#63 of 66

Median peer was paid$30K

This provider vs. median0.0×

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
2020	105	$831.44
2021	14	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	50%	21	18	$417.87
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	50%	14	13	$413.57
D0999	Unspecified diagnostic procedure, by report	0%	84	72	$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.