DentalNPI

Theodore V Tso, D.M.D.

Prosthodontist · Cleveland, OH

ProsthodontistsMore in OhioMedicare-enrolled

Federal data signals

Each tile cites its source. Empty signals are hidden — they are absent in the federal record, not negative ratings.

Years in practiceNPPES

12years

Self-reported NPPES — graduated 2014 from UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE.

Profile completeness

High

11 of 12 NPPES fields filled.

Measures how filled-in the federal record is — not clinical quality.

Methodology →
Practice footprintCMS

1locations

Privileges at 1 affiliated hospitals.

Federal record checkOIG LEIE

Clean

Active NPI · No OIG exclusion · Medicare-enrolled.

MIPS final score (2023)CMS QPP

99.13/ 100

84th percentile vs 177 dentists who report MIPS (median 89).

Only ~15% of US dentists report MIPS. Absence is not a negative signal — most don't bill enough Medicare to qualify.

Methodology →
Medicare patient volumeCMS PUF

31beneficiaries

Low volume · 37 services. Most dental work is private-pay or Medicaid.

Methodology →

Coverage & verification in Ohio

Ohio Medicaid
Adult Medicaid dental tier
ComprehensivePreventive, restorative, and most procedures.

Ohio Medicaid sets dental coverage rules. Children under 21 remain covered under federal EPSDT regardless of tier.

Visit Ohio Medicaid
Verify state dental license

Confirm the license is active and in good standing at the state board.

Ohio State Dental Board license lookup

Credentials & training

Specialty
Prosthodontist
Primary specialty (NPPES)
PROSTHODONTICS
Taxonomy
Dentist - Prosthodontics
Taxonomy classification
Dentist
Taxonomy specialization
Prosthodontics
Taxonomy code
1223P0700X
Credential
D.M.D.
Credential type
dentist
Dental school
UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE
Graduation year
2014

Practice ownership

Entity type
Individual
Sole proprietor
No

CMS quality & volume

CMS Quality Payment Program
MIPS final score (2023)
99.13 / 100
MIPS quality component
85.24 / 100
Medicare beneficiaries
31
Medicare services
37
Total Medicare payment
$19,362
Before you book

Five-minute checklist before you call

Federal data tells you a dentist exists and is enumerated. It does not confirm insurance acceptance, current availability, or office fit. Use this list when you call so the visit isn’t a surprise.

  1. Confirm insurance & out-of-pocket cost

    • “Do you accept my exact insurance plan? (give the carrier, plan name, and member ID)”
    • “Are you accepting new Ohio Medicaid patients right now?”
    • “What is the out-of-pocket cost I should expect for the type of visit I need?”
    • “If you are out of network for me, can you bill my insurer or only me?”

  2. Verify the dentist & availability

    • “Is Theodore V Tso the dentist who will see me, or another provider in the practice?”
    • “Are you accepting new patients? When is the next available appointment?”
    • “Will the same dentist handle follow-up visits, or rotate?”

  3. Verify the license yourself

    Search the Ohio State Dental Board license-lookup to confirm the license is active and in good standing — federal records do not show state-level discipline. Open the Ohio State Dental Board site →

  4. Match office services to your needs

    • “Do you offer emergency or same-day appointments? After-hours number?”
    • “What languages do your front desk and clinical staff speak?”
    • “Is the office wheelchair-accessible? Any accommodations available on request?”
    • “Do you offer sedation options for anxious patients (nitrous, oral, IV)?”
    • “Do you treat pediatric patients in this practice, or refer them to a pediatric dentist?”

Ready to call? Have your insurance card and a list of symptoms or visit reasons in front of you.

Call (626) 215-3907

More prosthodontists in Ohio

See full list →
About prosthodontists

What is a prosthodontist?

A prosthodontist specializes in restoring and replacing teeth: complex crowns, bridges, dentures, full-mouth rehabilitation, and the prosthetic phase of implants. They're the specialty that handles the hardest restorative cases — severe wear, congenital missing teeth, post-cancer reconstruction, and full-arch implant dentures.

Training. After dental school, a prosthodontist completes a 3-year accredited residency. A subset goes on to a 1- to 2-year fellowship in maxillofacial prosthetics for cancer-reconstruction work.

More about prosthodontists
Frequently asked

About this provider

  • What is Theodore V Tso's NPI?
    Theodore V Tso has the National Provider Identifier 1285040980. You can verify it directly on the NPPES NPI Registry at npiregistry.cms.hhs.gov.
  • Does Theodore V Tso accept Medicare?
    Yes. Theodore V Tso is enrolled with CMS Medicare. Note that few dental services are covered by traditional Medicare; coverage typically applies under Medicare Advantage dental riders.
  • Does Theodore V Tso accept Ohio Medicaid?
    We do not have a verified Ohio Medicaid acceptance signal for Theodore V Tso. Medicare enrollment is a public-program proxy but not a guarantee. Call the office or check the Ohio Medicaid provider directory at https://medicaid.ohio.gov/.
  • How do I verify Theodore V Tso's dental license?
    Use the Ohio State Dental Board license-lookup at https://dental.ohio.gov/. Search by name to confirm the license is active and in good standing.
Trust & transparency

Public data sources

Every provider profile cites the federal record it was built from. No editorial guesswork, no paid placement.